Individual provider Active NPI

Floriya Tkachuk-Mattioli, APN-BC

  • Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1487080271
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00466500 Issued in NJ
Practice address
218A Sunset Rd Ste 100
Willingboro, NJ 08046-1110
Phone
(856) 291-8920
Fax
(856) 291-8922
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 26NJ00466500 NJ Primary

Addresses

Primary practice location

218A Sunset Rd Ste 100
Willingboro, NJ 08046-1110

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

401 Young Ave Ste 320
Moorestown, NJ 08057-3133
Phone (856) 291-8920

Other practice location 2

1600 Haddon Avenue, 1st Floor, Suite A
Camden, NJ 08103
Phone (856) 291-8920

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ftkachukmattioli218038@directvirtua.org
Direct Messaging Address ftkachukmattioli218038@directvirtua.org
Direct Messaging Address ftkachukmattioli218038@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161229000530 NJ Practitioner - Nurse Practitioner 1658652995 Reassigns benefits to 1 organization
I20201223000267 PA Practitioner - Nurse Practitioner 1658652995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

239 Hurffville Crosskeys Rd
Suite 350a
Sewell, NJ 08080-4007
Phone (856) 341-8181

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00466500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jan 18, 2021 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 10, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 18, 2021 Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Jan 10, 2022 Accepting new patients
New Jersey Heart, Inc. PastSince Sep 13, 2016 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Fl 1
Camden, NJ 08103
Phone (856) 291-8920

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 320
Moorestown, NJ 08057
Phone (856) 291-8920

239 Hurffville Crosskeys Rd
Ste 350A
Sewell, NJ 08080
Phone (856) 589-0300

239 Hurffville Crosskeys Rd
Ste 460
Sewell, NJ 08080
Phone (856) 341-8181

218A Sunset Rd
Ste 100
Willingboro, NJ 08046
Phone (856) 291-8920

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

Interoperability endpoints

  • Direct secure messaging: ftkachukmattioli218038@directvirtua.org

Organizations & group practices 6

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 2

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487080271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A SUNSET RD STE 100",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461110",
            "telephone_number": "856-291-8920",
            "fax_number": "856-291-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Young Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573133",
            "country_code": "US",
            "telephone_number": "856-291-8920",
            "fax_number": "856-291-8922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Avenue, 1st Floor, Suite A",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-291-8920",
            "fax_number": "856-291-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TKACHUK-MATTIOLI",
        "first_name": "FLORIYA",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00466500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftkachukmattioli218038@directvirtua.org",
            "affiliation": "N",
            "address_1": "218A Sunset Rd Ste 100",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftkachukmattioli218038@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Avenue, 1st Floor, Suite A",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftkachukmattioli218038@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 320",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.