TRACEY MICHELLE MATA NPI 1083286116

NPI Information

  • NPI: 1083286116
  • Provider Name: TRACEY MICHELLE MATA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 82 ARLO RD APT 1B
    STATEN ISLAND, NY
    ZIP 10301
  • Phone: (347) 885-3004

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NPI Details

Tracey Michelle Mata is a student in an organized health care education training program in Staten Island, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tracey Michelle Mata NPI is 1083286116. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

82 ARLO RD APT 1B
STATEN ISLAND, NY
ZIP 10301-879
Phone: (347) 885-3004

The enumeration date for this NPI number is 7/16/2021 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program1862311NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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