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Mrs. Raisa Matayev, PA

Physician Assistant in Fresh Meadows, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134211873

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Registry record

Entity type Individual (Type 1)
Name Mrs. Raisa Matayev
Credential PA
Sex Female
Practice address 176-60 Union Turnpike, Suite 360, Fresh Meadows, NY, 11366
Fax (718) 460-9697
Enumeration date Sep 29, 2006
Last updated in NPPES Aug 4, 2009

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 010414 (NY) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
00246075 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Raisa Matayev practice?
The practice location on file with NPPES is in Fresh Meadows, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Raisa Matayev?
The National Provider Identifier (NPI) for Raisa Matayev is 1134211873, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-04.