Active NPI
Mayumi A. Mori, M.D.
- Ophthalmology Physician
- Cedar Knolls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA06440500
- Practice address
- 218 Ridgedale Ave
Cedar Knolls, NJ 07927-2109 - Phone
- (973) 326-8895
- Fax
- (973) 326-6805
- NPI assigned
- May 24, 2005
- Last updated
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA64405 | NJ | |
| Ophthalmology Physician | 207W00000X | 25MA06440500 | NJ | Primary |
Addresses
Primary practice location
218 Ridgedale Ave
Cedar Knolls, NJ 07927-2109
Mailing address
1265 15TH St
Apt 11G
Fort Lee, NJ 07024-1958
Phone (973) 326-8895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000901 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Icahn School of Medicine at Mount Sinai, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
138 S Euclid Ave
Advocare Pediatric Ophthalmology
Westfield, NJ 07090-2130
Phone (908) 317-9811
218 Ridgedale Ave
Suite 100
Cedar Knolls, NJ 07927-2109
Phone (973) 326-8895
25 -15 Fair Lawn Ave
Fair Lawn, NJ 07410-3434
Phone (201) 791-3166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA64405 | NJ | MD | Specialist |
| 25MA06440500 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients | |
| Michael S. Mattikow, M.D., P.a. | Specialist | Past | Accepting new patients |
Locations
218 Ridgedale Ave
Ste 100
Cedar Knolls, NJ 07927
Phone (973) 292-1113
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
Interoperability endpoints
- mayumi.mori@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba Advocare Merchantville Pediatrics
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
-
- Specialist
- Wayne, NJ
- NPI 1891857306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1003819905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 15TH ST",
"address_2": "APT 11G",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241958",
"telephone_number": "973-326-8895",
"fax_number": "973-326-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 RIDGEDALE AVE",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272109",
"telephone_number": "973-326-8895",
"fax_number": "973-326-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORI",
"first_name": "MAYUMI",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA64405",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA06440500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.