1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CHRISTOPHER MATTIELLO DO
NPI 1902541402
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 29, 2022PECOS Enrolled
117 S 11TH ST, PHILADELPHIA, PA 19107(215) 503-3876(215) 955-2519 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christopher Mattiello Do NPPES

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

CHRISTOPHER MATTIELLO DO (NPI 1902541402) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902541402
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER MATTIELLOCredential: DO
Location Address117 S 11TH STPhiladelphia, PA 19107-4949
Mailing Address590 Lower Landing Rd Apt 24fBlackwood, NJ 08012-4226 · (908) 601-6986
Phone(215) 503-3876
Fax(215) 955-2519
Sole ProprietorNo
Enumeration DateApril 29, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1902541402 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.

117 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Mattiello Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

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

JULIA AUGUST MD
Pathology (Anatomic Pathology & Clinical Pathology)
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
SARA SLEIMAN MD
Student in an Organized Health Care Education/Training Program
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
ALBERTO MARTINEZ MENCIA MD
Student in an Organized Health Care Education/Training Program
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
DR. KIRATPREET SINGH DHILLON MD
Pathology (Anatomic Pathology & Clinical Pathology)
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (267) 528-6633
TESS BERNHEIMER DO
Student in an Organized Health Care Education/Training Program
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
STEVEN SONG MD
Student in an Organized Health Care Education/Training Program
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
BELEN QUEREDA BERNABEU
Pathology (Anatomic Pathology & Clinical Pathology)
117 S 11TH ST, ROOM 204 PAVILLION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
FIRDOUS ALI
Student in an Organized Health Care Education/Training Program
117 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876

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 Christopher Mattiello's NPI number?

The NPI number for Christopher Mattiello is 1902541402. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Christopher Mattiello located?

Christopher Mattiello practices at 117 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 503-3876.

What is Christopher Mattiello's specialty?

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

Is Christopher Mattiello enrolled in Medicare?

Yes. Christopher Mattiello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Mattiello was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.