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DR. JAEDA MATTIS DO
NPI 1699439083
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since October 22, 2021
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-9850 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Oct 22, 2021 (2 updates tracked since 2021).

About Dr. Jaeda Mattis Do NPPES

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

DR. JAEDA MATTIS DO (NPI 1699439083) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1699439083
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JAEDA MATTISCredential: DO
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098
Phone(215) 456-9850
Sole ProprietorNo
Enumeration DateOctober 22, 2021
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1699439083 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.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141
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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.

GREGORY JOHNSON MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JULIE MINJU GANG DMD
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7130
ALINE A IANNONI DE MORAES
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
DR. BRIANA M CALDERON PARKER MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHMIN SINGH
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6629
ALEXANDER JAMES RAZIN MD
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6500
NEETHU KANJINGAT NANDAN MBBS
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
EMILY ELIZABETH MESSINA
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 457-4444

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 Jaeda Mattis's NPI number?

The NPI number for Jaeda Mattis is 1699439083. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Jaeda Mattis located?

Jaeda Mattis practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-9850.

What is Jaeda Mattis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaeda Mattis was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.