MATRIX MEDICAL OF NEW YORK PC
NPI 1639433063
Nurse Practitioner in New York, NY

Q: What is Matrix Medical Of New York PC's NPI number?

The NPI number for Matrix Medical Of New York PC is 1639433063. It was assigned to this organization in the NPPES registry on June 29, 2012.

Q: What is Matrix Medical Of New York PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 29, 2012

1740 BROADWAY, NEW YORK, NY 10019(480) 862-1677(480) 718-7643 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Oct 6, 2021, Dec 10, 2019 and 1 more (4 updates tracked since 2018).

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About Matrix Medical Of New York Pc NPPES

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

MATRIX MEDICAL OF NEW YORK PC (NPI 1639433063) is a healthcare organization registered as a nurse practitioner in New York, New York and active in the NPI registry since June 2012. The organization lists Stephanie Peterson, Manager Credentialing, as its authorized official.

NPPES Registry Identity

NPI1639433063

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMATRIX MEDICAL OF NEW YORK PC

Location Address1740 BROADWAYNew York, NY 10019-4315

Mailing Address424 Church St Ste 220Nashville, TN 37219-2464 · (877) 564-3627

Phone(480) 862-1677

Fax(480) 718-7643

Organization SubpartNo

Authorized OfficialStephanie PetersonManager Credentialing · (877) 564-3627

Enumeration DateJune 29, 2012

Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1639433063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1740 BROADWAY, New York, NY 10019

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

AJA NAYFELD FNP-BC, RN

Nurse Practitioner (Family)

1740 BROADWAY
NEW YORK, NY 10019

New York County (877) 564-3627

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 Matrix Medical Of New York PC's NPI number?

The NPI number for Matrix Medical Of New York PC is 1639433063. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Matrix Medical Of New York PC located?

Matrix Medical Of New York PC is located at 1740 Broadway, New York, NY 10019. The listed phone number is (480) 862-1677.

What is Matrix Medical Of New York PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Matrix Medical Of New York PC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.