Individual provider Active NPI

Matthew Henriques

  • Clinical Cardiac Electrophysiology Physician
  • Eatontown, NJ
National Provider Identifier
1023515343
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA13145300 Issued in NJ
Practice address
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone
(732) 663-0300
Fax
(732) 663-0301
NPI assigned
Apr 12, 2018
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 309615 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA13145300 NJ Primary

Addresses

Primary practice location

11 Meridian Rd
Eatontown, NJ 07724-2242

Mailing address

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Other practice location 1

222 Schanck Rd Ste 104
Freehold, NJ 07728-2974
Phone (732) 663-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240402003499 NY Practitioner - Internal Medicine 3173961729 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309615NYMDLicensed Practical Nurse
25MA13145300NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Suffolk Medical, P.C. Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Mar 1, 2024 Accepting new patients
Monmouth Cardiology Associates, LLC Single Specialty PastSince Aug 17, 2026 Accepting new patients

Locations

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJICD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1023515343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Schanck Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282974",
            "country_code": "US",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "309615",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA13145300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.