Active NPI
Maria Elizabeth Nasis-Matuza, MS, RN, CPNP
- Pediatric Nurse Practitioner
- Huntington Station, NY
National Provider Identifier
1871809707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F382490-1
- Practice address
- 47 Pioneer Blvd
Huntington Station, NY 11746-4423 - Phone
- (516) 314-2717
- NPI assigned
- Aug 30, 2010
- Last updated
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 577648-1 | NY | MD | Registered Nurse |
| F382490-1 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Integrative Pediatric Associates
- Pediatric Nurse Practitioner
- Commack, NY
- NPI 1093487928
Pediatrics
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
- Erin Elizabeth Mortensen, RN
- Martin Alan Moskowitz, LCSW
- Marc Stuart Muchnik, M.A.
- Cheryl Ann Murphy, PT
- Azmat Naeemi
- Michael Naughton
- New Page Mental Health Counseling PLLC
- New York Dialysis Services, Inc. (Huntington Station Dialysis Center)
- New York University (Urgent Care at NYU Langone Huntington Medical Group)
- Dominique Newman, LMHC
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.