Maja Matwiejczuk, FNP APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8143 Issued in CT

Practice address

113 Elm Street
Suite 304
Enfield, CT 06082

Phone

(860) 741-2225

Fax

(860) 741-2229

NPI assigned

Mar 26, 2019

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Enfield, LLCGroup PAC ID 6305061912, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmatwiejczuk@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Dermatology of Enfield, LLC

  • Dermatology Physician
  • Simsbury, CT
  • NPI 1134544661
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Western Connecticut, PC

  • Procedural Dermatology Physician
  • Newtown, CT
  • NPI 1306851050
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1093276750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ELM STREET",
            "address_2": "SUITE 304",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-741-2225",
            "fax_number": "860-741-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELM STREET",
            "address_2": "SUITE 304",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-741-2225",
            "fax_number": "860-741-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATWIEJCZUK",
        "first_name": "MAJA",
        "credential": "FNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmine Masi
• Younus F Masih, M.D.
• Nathan Massey, M.D.
• Sharon R Massoth, M.S.W.
• Ivette Matos
• Kulsoom Hussain Maudoodi, M.D.
• Brian Thomas Maurer, PA
• Andrew Scott Maxwell, OD
• Chara May
• Francis May

• Nurse Practitioner in Enfield, CT
• Providers in Enfield, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.