# MATRIX MEDICAL NETWORK OF NEW JERSEY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831480730
- **Authorized official:** STEPHANIE PETERSON (SUPERVISOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (480) 862-1677

## Contact information

- **Practice address:** 250 PEHLE AVE STE 200, SADDLE BROOK, NJ 07663-5835
- **Practice address phone:** (480) 862-1677
- **Practice address fax:** (480) 718-7643
- **Mailing address:** 9201 E MOUNTAIN VIEW \#220, SCOTTSDALE, AZ 85258-5172
- **Mailing address phone:** (480) 862-1700
- **Mailing address fax:** (877) 506-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2011
- **Last updated:** 05/04/2020