1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JESSIKA GEORGES MATTA
NPI 1417523788
Student in an Organized Health Care Education/Training Program in New York, NY

Active since May 27, 2021PECOS Enrolled
1 GUSTAVE L LEVY PL # 1070, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Jun 13, 2024, May 27, 2021 (3 updates tracked since 2021).

About Jessika Georges Matta NPPES

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

JESSIKA GEORGES MATTA (NPI 1417523788) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417523788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSIKA GEORGES MATTA
Location Address1 GUSTAVE L LEVY PL # 1070New York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl # 1070New York, NY 10029-6504 · (212) 241-6500
Phone(212) 241-6500
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1417523788 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.
1 GUSTAVE L LEVY PL # 1070, New York, NY 10029
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessika Georges Matta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DR. SHREYA ADWAIT HEBBAR MD
Internal Medicine (Geriatric Medicine)
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6500
DR. RAGHAVA SEKHAR MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6500
SAMANTHA JANE LORIA MD
Internal Medicine (Geriatric Medicine)
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6500
CECILY CLAIRE MCINTYRE MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6500
CALVIN RAJ GROSS MD, MTS
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6400
INES TIMONEY GOMEZ MD
Internal Medicine (Hospice and Palliative Medicine)
1 GUSTAVE L LEVY PL # 1070
NEW YORK, NY 10029
New York County (212) 241-6500

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 Jessika Matta's NPI number?

The NPI number for Jessika Matta is 1417523788. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Jessika Matta located?

Jessika Matta practices at 1 Gustave L Levy Pl # 1070, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jessika Matta's specialty?

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

Is Jessika Matta enrolled in Medicare?

Yes. Jessika Matta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessika Matta was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.