DR. GRACE MATTHEW MD
NPI 1497738553
Pediatrics - Adolescent Medicine in Staten Island, NY

Q: What is Grace Matthew's NPI number?

The NPI number for Grace Matthew is 1497738553. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Grace Matthew's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Matthew was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2005PECOS Enrolled

375 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 226-2512(718) 226-2098 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Grace Matthew Md NPPES

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

DR. GRACE MATTHEW MD (NPI 1497738553) is an individual adolescent medicine provider in Staten Island, New York, licensed in New York (135938) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497738553

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. GRACE MATTHEWCredential: MD

Location Address375 SEGUINE AVEStaten Island, NY 10309-3932

Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-1047 · Fax (718) 226-1039

Phone(718) 226-2512

Fax(718) 226-2098

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497738553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 135938

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

375 SEGUINE AVE, Staten Island, NY 10309

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Other Identifiers 3

Medicare ID-Type Unspecified306681NY

Medicaid01268088NY

Medicare UPINF21231NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Matthew Md 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 20

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

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