Alyssa Coppa Matra, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

713638 Issued in NY

Practice address

530 E 74TH St
New York, NY 10021-3459

Phone

(646) 608-1635

NPI assigned

Jan 10, 2025

Sex

Female

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

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1720898802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101623",
            "telephone_number": "914-479-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213459",
            "telephone_number": "646-608-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRA",
        "first_name": "ALYSSA",
        "middle_name": "COPPA",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NY",
            "license": "713638",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "713638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Aaron Matos, M.D
• Jose Raphael Matos, MASSAGE THERAPIST
• Orleida Matos
• Zoila Yudith Matos, RD
• Kareen Marie Matouk, PH.D.
• Cathleen Matrai, M.D.
• Matrix Medical of New York PC
• Matrix Technology Associates LLC
• Evan Matros, M.D.
• Marina Mats, D.D.S.

• Clinical Nurse Specialist in New York, NY
• Providers in New York, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.