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HEIDI MATISOFF NP
NPI 1609267376
Nurse Practitioner - Primary Care in New York, NY

Active since February 16, 2015
4781 BROADWAY, NEW YORK, NY 10034(212) 304-6920(212) 544-5849 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heidi Matisoff Np NPPES

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

HEIDI MATISOFF NP (NPI 1609267376) is an individual primary care provider in New York, New York, licensed in New York (F306939-1) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1609267376
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHEIDI MATISOFFCredential: NP
Location Address4781 BROADWAYNew York, NY 10034-4915
Mailing Address4781 BroadwayNew York, NY 10034-4915 · (212) 304-6920 · Fax (212) 544-5849
Phone(212) 304-6920
Fax(212) 544-5849
Sole ProprietorNo
Enumeration DateFebruary 16, 2015
Last NPPES UpdateMarch 3, 2016
✔ NPI 1609267376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F306939-1
4781 BROADWAY, New York, NY 10034
Open in Google Maps ↗

Other Identifiers 1

Medicaid04093050NY

Other Providers at the Same Location NPPES 9

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

DR. KELLY A SMITH MD
Internal Medicine
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 304-6920
DR. CHARLENE SHERVONNE EMMANUEL M.D.
Obstetrics & Gynecology
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4200
MS. AMANI ASHLEY HAMBRIC NP
Nurse Practitioner (Women's Health)
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 544-5853
SARAH JOY GONZALEZ PNP
Nurse Practitioner (Pediatrics)
4781 BROADWAY
NEW YORK, NY 10034
New York County (866) 643-2778
DR. CYRUS AMIR BOQUIN M.D.
Internal Medicine
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 304-6920
JOHANNA TYSON ALLEN ARNTZEN CNM
Advanced Practice Midwife
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 304-6920
MS. RENIE EIS PNP
Nurse Practitioner (Pediatrics)
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 304-6922
DR. ELIZABETH CLAIRE LIPPITT MD
Internal Medicine
4781 BROADWAY
NEW YORK, NY 10034
New York County (212) 304-6920

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 Heidi Matisoff's NPI number?

The NPI number for Heidi Matisoff is 1609267376. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Heidi Matisoff located?

Heidi Matisoff practices at 4781 Broadway, New York, NY 10034. The listed phone number is (212) 304-6920.

What is Heidi Matisoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Heidi Matisoff was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.