Individual provider · Type 1 NPI

Madison Nicole Matello, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1114793783 Active

Practice location

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA065194 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1114793783

Madison Nicole Matello, PA-C's National Provider Identifier is 1114793783, issued on Nov 27, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 14, 2026.