Active NPI
Matthew Mark Ferraro, NP
- Nurse Practitioner
- Fredonia, NY
National Provider Identifier
1538074703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F360320-01
- Practice address
- 12 Center St Ste 4
Fredonia, NY 14063-1769 - Phone
- (716) 934-3641
- Fax
- (716) 679-9698
- NPI assigned
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F360320-01 | NY | Primary |
Addresses
Primary practice location
12 Center St Ste 4
Fredonia, NY 14063-1769
Mailing address
12 Center St Ste 4
Fredonia, NY 14063-1769
Phone (716) 934-3641
Other practice location 1
15 S Main St Ste 110
Jamestown, NY 14701-6626
Phone (716) 483-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1538074703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CENTER ST STE 4",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140631769",
"telephone_number": "716-934-3641",
"fax_number": "716-679-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CENTER ST STE 4",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140631769",
"telephone_number": "716-934-3641",
"fax_number": "716-679-9698"
}
],
"practiceLocations": [
{
"address_1": "15 S Main St Ste 110",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "NY",
"postal_code": "147016626",
"country_code": "US",
"telephone_number": "716-483-2320",
"fax_number": "716-484-2582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRARO",
"first_name": "MATTHEW",
"middle_name": "MARK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F360320-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.