Individual provider Active NPI

Jennifer Matz Vij, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1194333625
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
244761 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-6761
Fax
(602) 406-5515
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 244761 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

240 W Thomas Rd # 301
Phoenix, AZ 85013-4407
Phone (602) 406-7765

Other practice location 1

3636 E Shomi St
Phoenix, AZ 85044-3854
Phone (480) 695-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20200922000464 AZ Practitioner - Nurse Practitioner 0941628069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
244761AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Outpatient Surgery Center, LLC Current Accepting new patients
St Josephs Pathology Current Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Neeraj Vij MD PLLC CurrentSince Sep 15, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Apr 28, 2025 Accepting new patients

Locations

3744 S Rome St
Gilbert, AZ 85297
Phone (480) 224-9500

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

60 S 58th St
Mesa, AZ 85206
Phone (480) 832-3903

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2910 N 3rd Ave
Ste 430
Phoenix, AZ 85013
Phone (602) 406-7421

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

File 56765
Los Angeles, CA 90074

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1194333625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W THOMAS RD # 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134407",
            "telephone_number": "602-406-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-6761",
            "fax_number": "602-406-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 E Shomi St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850443854",
            "country_code": "US",
            "telephone_number": "480-695-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIJ",
        "first_name": "JENNIFER",
        "middle_name": "MATZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "244761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.