Matthew David Poli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00918200 Issued in NJ

Practice address

300 W Route 38 Ste a
Moorestown, NJ 08057-3424

Phone

(609) 267-9400

Fax

(609) 234-3921

NPI assigned

Feb 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI, PA, NJ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpoli300118@directvirtua.org
• Direct secure messaging: mpoli229484@direct.myadvocateaurora.org

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD (past)
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1659615706
  Medicare reassignment
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Medford, NJ
  • NPI 1144770975
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988

  Physician Assistant

  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Doylestown, PA
  • NPI 1033879713
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• Reconstructive Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1659319002

  Physician Assistant

  NPD (past)
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1700223559
  NPD (past)

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

• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1013540566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-267-9400",
            "fax_number": "856-234-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38 STE A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573424",
            "telephone_number": "609-267-9400",
            "fax_number": "609-234-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WI",
            "postal_code": "530249201",
            "country_code": "US",
            "telephone_number": "262-329-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Route 70 Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559501",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-451-5518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606937",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-696-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E100",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439648",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-809-2334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "547 New Rd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442038",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-927-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-451-5518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 US Highway 130 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085052137",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-424-3517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 N 17th Street",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53202",
            "country_code": "US",
            "telephone_number": "414-288-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Lambs Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Pitman",
            "state": "NJ",
            "postal_code": "080712023",
            "country_code": "US",
            "telephone_number": "856-256-0051",
            "fax_number": "856-582-1643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Rd Ste C4-A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-270-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLI",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5124-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00918200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013540566",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpoli229484@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "507 N 17th Street",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "507 N 17th Street",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Susan Piotrowski, MD
• Carolyn Piro, LCSW
• Katie Pizzolato, PHARMD
• Michael Robert Plumeri, PSY.D.
• Thomas W Plut, D.O.
• Pomac
• Pomac LLC
• Pomac Metro Ipa LLC
• Pomac Metro LLC
• Pomac Usp

• Physician Assistant in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.