Individual provider Active NPI

Natalie Nicole Rivera Matos, MD

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1295312791
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD489472 Issued in PA
Practice address
1755 W Macada Rd
Bethlehem, PA 18017-3520
Phone
(610) 936-9676
NPI assigned
Mar 29, 2021
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD489472 PA Primary
Psychiatry Physician 2084P0800X 12767 GA

Addresses

Primary practice location

1755 W Macada Rd
Bethlehem, PA 18017-3520

Mailing address

1755 W Macada Rd
Bethlehem, PA 18017-3520
Phone (610) 984-1831

Other identifiers 1

IdentifierTypeStateIssuer
12767OtherGAGEORGIA TRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240228000799 GA Practitioner - Psychiatry 4789029927 Reassigns benefits to 1 organization
I20250929002179 PA Practitioner - Psychiatry 4789029927 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs-LVHN JV, LLC CurrentSince Aug 3, 2025 Accepting new patients
Gateway Behavioral Health Services CurrentSince Dec 9, 2023 Accepting new patients
Gateway Community Service Board CurrentSince Dec 9, 2023 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Oct 13, 2025 Accepting new patients
Gateway Behavioral Health Services Past Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (866) 557-9955

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

1755 W Macada Rd
Bethlehem, PA 18017
Phone (610) 936-9676

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1295312791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 W MACADA RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173520",
            "telephone_number": "610-984-1831",
            "fax_number": "610-984-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W MACADA RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173520",
            "telephone_number": "610-936-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MATOS",
        "first_name": "NATALIE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD489472",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "12767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA TRAINING PERMIT",
            "identifier": "12767",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.