Matthew James Mitrano

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2345560 Issued in MA

Practice address

5 Evangeline LN
Woburn, MA 01801-2520

Phone

(781) 608-8296

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1639944788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVANGELINE LN",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012520",
            "telephone_number": "781-608-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVANGELINE LN",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012520",
            "telephone_number": "781-608-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRANO",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2345560",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "RN2345560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minimally Invasive Thoracic Surgery Associates, PC
• Minimally Invastive Thoracic Surgery Associates, P.C.
• Beatrice Mitchell, RN
• India Mitchell
• Mitra RXDX
• MJV, LLC
• MMH Health Care LLC
• Paula Modest
• Tiffany Marie Moglia, PA-C
• Adrian J. Mohamed, COTA/L

• Pediatric Nurse Practitioner in Woburn, MA
• Providers in Woburn, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.