MRS. MICHELLE INGRID MATILSKY FNP
NPI 1245852227
Nurse Practitioner - Family in Staten Island, NY

Q: What is Michelle Matilsky's NPI number?

The NPI number for Michelle Matilsky is 1245852227. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Michelle Matilsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Matilsky was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 12, 2020

120 MORELAND ST, STATEN ISLAND, NY 10306(973) 897-8654 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Michelle Ingrid Matilsky Fnp NPPES

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

MRS. MICHELLE INGRID MATILSKY FNP (NPI 1245852227) is an individual family provider in Staten Island, New York, licensed in New York (345619) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1245852227

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MICHELLE INGRID MATILSKYCredential: FNP

Location Address120 MORELAND STStaten Island, NY 10306-5145

Mailing Address120 Moreland StStaten Island, NY 10306-5145

Phone(973) 897-8654

Sole ProprietorYes

Enumeration DateMay 12, 2020

NPPES CertifiedMay 12, 2020

✔ NPI 1245852227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 345619

120 MORELAND ST, Staten Island, NY 10306

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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 Michelle Matilsky's NPI number?

The NPI number for Michelle Matilsky is 1245852227. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Michelle Matilsky located?

Michelle Matilsky practices at 120 Moreland St, Staten Island, NY 10306. The listed phone number is (973) 897-8654.

What is Michelle Matilsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Michelle Matilsky was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.