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KAITLYN JANE MATTER DMD
NPI 1245174036
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since April 14, 2026
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6553(631) 474-6332 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Jane Matter Dmd NPPES

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

KAITLYN JANE MATTER DMD (NPI 1245174036) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1245174036
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN JANE MATTERCredential: DMD
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1968
Mailing Address6181 Tidewater Island CirFort Myers, FL 33908-4681
Phone(631) 474-6553
Fax(631) 474-6332
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1245174036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
200 BELLE TERRE RD, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 20

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

ANTHONY BRIAN KWAN MD
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6791
MR. TERENCE JOSEPH SCHULZ MA CCC-A
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6326
MS. LAURA LYNN BECK PT
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-5606
RONNI MARANGONI
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6267
IGOR LIZOGUBENKO P.A.
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
SANA AMBER HAMEEDI D.O
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
MR. MATTHEW DELPH PA
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. ROBERT KENNEDY AWADALLAH PHARM.D, ANP, MBA
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000

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 Kaitlyn Matter's NPI number?

The NPI number for Kaitlyn Matter is 1245174036. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Kaitlyn Matter located?

Kaitlyn Matter practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6553.

What is Kaitlyn Matter'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 Kaitlyn Matter was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.