Individual provider Active NPI

Maria Elizabeth Nasis-Matuza, MS, RN, CPNP

  • Pediatric Nurse Practitioner
  • Huntington Station, NY
National Provider Identifier
1871809707
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382490-1 Issued in NY
Practice address
47 Pioneer Blvd
Huntington Station, NY 11746-4423
Phone
(516) 314-2717
NPI assigned
Aug 30, 2010
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382490-1 NY Primary
Registered Nurse 163W00000X 577648-1 NY

Addresses

Primary practice location

47 Pioneer Blvd
Huntington Station, NY 11746-4423

Mailing address

47 Pioneer Blvd
Huntington Station, NY 11746-4423
Phone (516) 314-2717

Other practice location 1

66 Austin Blvd
Commack, NY 11725-5733
Phone (347) 762-7671

Other names 1

  • Mariel Nasis-Matuza Other name

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
577648-1NYMDRegistered Nurse
F382490-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menasis-Matuza, Nurse Practitioner in Pediatrics, PC Pediatrics Current Accepting new patients

Locations

66 Austin Blvd
Commack, NY 11725
Phone (631) 664-2781

Organizations & group practices 1

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1871809707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PIONEER BLVD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464423",
            "telephone_number": "516-314-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PIONEER BLVD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464423",
            "telephone_number": "516-314-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Austin Blvd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255733",
            "country_code": "US",
            "telephone_number": "347-762-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASIS-MATUZA",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "credential": "MS, RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382490-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "577648-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "NASIS-MATUZA",
            "credential": "MS, RN, CPNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.