Individual provider Active NPI

Matthew George Cholankeril, M.D.

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
National Provider Identifier
1003204850
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10018100 Issued in NJ
Practice address
100 Grove St
Elizabeth, NJ 07202
Phone
(908) 352-1738
NPI assigned
Jan 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA10018100 NJ Primary

Addresses

Primary practice location

100 Grove St
Elizabeth, NJ 07202

Mailing address

100 Grove St
Elizabeth, NJ 07202-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416002012 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961765466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cholankeril Medical Associates MD LLCGroup PAC ID 7416922562, 3 clinicians

Practice addresses (Care Compare)

100 Grove St
Elizabeth, NJ 07202-1111
Phone (908) 352-1735

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10018100NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC Cardiovascular Disease CurrentSince Nov 11, 2018 Accepting new patients
Cholankeril Medical Associates MD LLC Cardiovascular Disease CurrentSince May 15, 2018 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

100 Grove St
Elizabeth, NJ 07202
Phone (908) 352-1735

1600 Saint Georges Ave
Ste 106
Rahway, NJ 07065
Phone (732) 382-2177

Interoperability endpoints

  • Direct secure messaging: matthew.cholankeril@direct.digidms.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1003204850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-352-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLANKERIL",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-02",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10018100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.