Active NPIIndividual provider

Matthew T Ariyavatkul, PA-C

Physician Assistant, Surgical in Middlebury, Connecticut

NPI Number1619273737
Practice location
1579 Straits Tpke Ste E, Middlebury, CT 06762-1841
Fax
877-345-6922
Last updated
August 24, 2026

Matthew T Ariyavatkul is a Physician Assistant, Surgical based in Middlebury, CT. Matthew T Ariyavatkul practices in Middlebury, CT and has the professional credentials of PA-C. The NPI Number for Matthew T Ariyavatkul is 1619273737 and holds a License No. 002539 (CT). The current practice location address for Matthew T Ariyavatkul is 1579 Straits Tpke Ste E, Middlebury, CT 06762-1841 and can be reached out via phone at 203-598-0700 and via fax at 877-345-6922.

Provider Profile Details

NPI Number
1619273737
Provider Name
Matthew T Ariyavatkul
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1579 Straits Tpke Ste E, Middlebury, CT 06762-1841
Phone Number
203-598-0700
Fax Number
877-345-6922
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2011
Last Update Date
August 24, 2026
Certification Date
August 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1579 Straits Tpke Ste E
Middlebury, CT 06762-1841
Zip
06762-1841
Phone Number
203-598-0700
Fax Number
877-345-6922
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
2 Barnes Industrial RD S
Wallingford, CT 06492-2486
City
Wallingford
State
CT
Zip
06492-2486
Phone Number
203-626-0160
Fax Number
203-294-6734

License Information

License Number
002539
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew T Ariyavatkul, PA-C?

The NPI number of Matthew T Ariyavatkul, PA-C is 1619273737. It was assigned on February 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Matthew T Ariyavatkul, PA-C?

Matthew T Ariyavatkul, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 002539.

Where does Matthew T Ariyavatkul, PA-C practice?

The practice location is 1579 Straits Tpke Ste E, Middlebury, CT 06762-1841. The office can be reached at 203-598-0700 (phone) or 877-345-6922 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619273737 directly on the NPPES registry website.

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