Madison Nicole Matello, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA065194 Issued in PA

Practice address

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338

Phone

(267) 463-5800

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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 PA

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Care GroupGroup PAC ID 2264345933, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• AIDS Care Group

  • Clinic/Center
  • Chester, PA
  • NPI 1477592400
  Medicare reassignment Care Compare group
• Absolutecare of Philadelphia, LLC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1437662772
  Medicare reassignment
• Greater Philadelphia Health Action Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment
• Absolutecare of Philadelphia, LLC

  • Multi-Specialty Clinic/Center
  • Pittsburgh, PA
  • NPI 1669132767
  NPD
• Greater Philadelphia Health Action Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1952356867
  NPD
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Greater Philadelphia Health Action Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1417902362
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1114793783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATELLO",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis S Matarazzo, D.D.S.
• Stephanie Ashritha Matcha, DPM
• Ewa G Matczak, DMD
• Lori M. Matczak, RN
• Marco J Matejka, CRNA
• Jose Manuel Mateo-Bermudez, M.D.
• Alina M Mateo, M.D.
• Sara Mateo, MD
• Maternity Care Coalition
• Susan Matesanz, MD

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.