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NISHA SUSAN PRINCE-MATTATHIL NURSE PRACTITIONER
NPI 1396362646
Nurse Practitioner - Family in Huntington, NY

Active since July 02, 2020
789 PARK AVE, HUNTINGTON, NY 11743(631) 386-3402 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2022, Jul 28, 2020, Jul 7, 2020 and 1 more (4 updates tracked since 2020).

About Nisha Susan Prince-mattathil Nurse Practitioner NPPES

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

NISHA SUSAN PRINCE-MATTATHIL NURSE PRACTITIONER (NPI 1396362646) is an individual family provider in Huntington, New York, licensed in New York (1792786) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1396362646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNISHA SUSAN PRINCE-MATTATHILCredential: NURSE PRACTITIONER
Location Address789 PARK AVEHuntington, NY 11743-3912
Mailing Address789 Park AveHuntington, NY 11743-3912 · (631) 386-3402
Phone(631) 386-3402
Sole ProprietorNo
Enumeration DateJuly 2, 2020
Last NPPES UpdateAugust 6, 20224 updates tracked since enumeration
NPPES CertifiedAugust 6, 2022
✔ NPI 1396362646 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 · 1792786
789 PARK AVE, Huntington, NY 11743
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Other Providers at the Same Location NPPES 8

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

DR. BETH SILVERSTEIN DO
Psychiatry & Neurology (Neurology)
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 425-3870
KRISTIN NOWAKOWSKI PHARM.D.
Pharmacist
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (516) 806-5943
CORDANT PHARMACY NEW YORK LLC
Pharmacy (Community/Retail Pharmacy)
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (516) 806-5943
DR. LOUISE RAMINFARD M.D.
Internal Medicine (Rheumatology)
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 424-9090
AMERICAN FORENSIC TOXICOLOGY SERVICES LLC
Clinical Medical Laboratory
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 923-0166
DR. VLADIMIR H SALOMON DO
Physical Medicine & Rehabilitation
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 425-3887
DR. BARRY GLANZMAN M.D.
Internal Medicine (Gastroenterology)
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 425-2160
MICHAEL SETH BUCHHOLTZ MD FACP
Internal Medicine (Hematology)
789 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 425-2280

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 Nisha Prince-mattathil's NPI number?

The NPI number for Nisha Prince-mattathil is 1396362646. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Nisha Prince-mattathil located?

Nisha Prince-mattathil practices at 789 Park Ave, Huntington, NY 11743. The listed phone number is (631) 386-3402.

What is Nisha Prince-mattathil'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 Nisha Prince-mattathil was last updated on August 6, 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.