Menasis-Matuza, Nurse Practitioner in Pediatrics, PC

Organization Active NPI Pediatric Nurse Practitioner · Commack, NY

NPI 1093487928 · NPPES record last updated Sep 29, 2021

Key facts

NPI
1093487928
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
Legal business name
MENASIS-MATUZA, NURSE PRACTITIONER IN PEDIATRICS, PC
Practice address
66 Austin Blvd
Commack, NY 11725-5733
Phone
(347) 762-7671
NPI assigned
Sep 29, 2021
Organization subpart
No

Authorized official

Name
Maria Elizabeth Nasis-Matuza, MS, RN, CPNP
Title
Nurse Practitioner
Phone
(516) 314-2717

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363LP0200X Yes

Addresses

Primary practice location

66 Austin Blvd
Commack, NY 11725-5733

Mailing address

PO Box 863
Melville, NY 11747-0863
Phone (347) 762-7671

Other names

  • Integrative Pediatric Associates Doing business as

Other providers in Commack, NY

All providers in Commack, NY · Pediatric Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.