MATTHEW NEBRIJA PA-C
NPI 1710766431
Physician Assistant in Port Jefferson Station, NY

Active since September 22, 2023PECOS EnrolledAccepts Medicare Assignment
1500 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 928-0188 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Nebrija Pa-c NPPES

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

MATTHEW NEBRIJA PA-C (NPI 1710766431) is an individual physician assistant in Port Jefferson Station, New York, licensed in New York (030709) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710766431
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW NEBRIJACredential: PA-C
Location Address1500 ROUTE 112Port Jefferson Station, NY 11776-8054
Mailing Address28 Sharon DrCoram, NY 11727-1923 · (631) 974-5208
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 22, 2023
Last NPPES UpdateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
NPI 1710766431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 030709
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 ROUTE 112, Port Jefferson Station, NY 11776

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Nebrija Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143675025
PECOS Enrollment IDI20231012001898
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
1500 ROUTE 112, BLDG 11 SUITE A
PORT JEFFERSON STATION, NY 11776
Obstetrics & Gynecology
1500 ROUTE 112, BLDG 11, SUITE B
PORT JEFFERSON STATION, NY 11776
Alzheimer Center (Dementia Center)
1500 ROUTE 112, BUILDING 6, SUITE A
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Clinic/Center (Ambulatory Surgical)
1500 ROUTE 112, BLDG 3
PORT JEFFERSON STATION, NY 11776
Otolaryngology (Sleep Medicine)
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776

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 Matthew Nebrija's NPI number?

The NPI number for Matthew Nebrija is 1710766431. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Matthew Nebrija located?

Matthew Nebrija practices at 1500 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-0188.

What is Matthew Nebrija's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Nebrija enrolled in Medicare?

Yes. Matthew Nebrija is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Nebrija was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.