Provider Demographics
NPI:1831480730
Name:MATRIX MEDICAL NETWORK OF NEW JERSEY PC
Entity Type:Organization
Organization Name:MATRIX MEDICAL NETWORK OF NEW JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR PROVIDER ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-862-1677
Mailing Address - Street 1:9201 E MOUNTAIN VIEW #220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5172
Mailing Address - Country:US
Mailing Address - Phone:480-862-1700
Mailing Address - Fax:877-506-4560
Practice Address - Street 1:250 PEHLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5835
Practice Address - Country:US
Practice Address - Phone:480-862-1677
Practice Address - Fax:480-718-7643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty