MATTHEW JAMES FEDULLO PA-C
NPI 1831048602
Physician Assistant in Stamford, CT

Active since January 26, 2026
2777 SUMMER ST STE 600, STAMFORD, CT 06905(203) 428-4440 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew James Fedullo Pa-c NPPES

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

MATTHEW JAMES FEDULLO PA-C (NPI 1831048602) is an individual physician assistant in Stamford, Connecticut, licensed in Connecticut (7540) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1831048602
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW JAMES FEDULLOCredential: PA-C
Location Address2777 SUMMER ST STE 600Stamford, CT 06905-4323
Mailing Address2777 Summer St Ste 600Stamford, CT 06905-4323 · (203) 428-4440
Sole ProprietorNo
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1831048602 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 CT · 7540
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.
2777 SUMMER ST STE 600, Stamford, CT 06905

Other Providers at the Same Location NPPES 3

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

Dermatology (MOHS-Micrographic Surgery)
2777 SUMMER ST STE 600
STAMFORD, CT 06905
Dermatology
2777 SUMMER ST STE 600
STAMFORD, CT 06905
Dermatology (MOHS-Micrographic Surgery)
2777 SUMMER ST STE 600
STAMFORD, CT 06905

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 Fedullo's NPI number?

The NPI number for Matthew Fedullo is 1831048602. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Matthew Fedullo located?

Matthew Fedullo practices at 2777 Summer St Ste 600, Stamford, CT 06905. The listed phone number is (203) 428-4440.

What is Matthew Fedullo's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Fedullo was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.