DR. MATTHEW VAN RAVEN MD
NPI 1013657253
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 29, 2022
101 NICOLLS RD RM 176, STONY BROOK, NY 11794(631) 638-8517 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Van Raven Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW VAN RAVEN MD (NPI 1013657253) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1013657253
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATTHEW VAN RAVENCredential: MD
Location Address101 NICOLLS RD RM 176Stony Brook, NY 11794-8430
Mailing Address101 Nicolls Rd Rm 176Stony Brook, NY 11794-8430 · (631) 638-8517
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1013657253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD RM 176, Stony Brook, NY 11794

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Internal Medicine (Nephrology)
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 176
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Raven's NPI number?

The NPI number for Matthew Raven is 1013657253. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Matthew Raven located?

Matthew Raven practices at 101 Nicolls Rd Rm 176, Stony Brook, NY 11794. The listed phone number is (631) 638-8517.

What is Matthew Raven's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Raven was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.