Active NPI
Matthew Henriques
- Clinical Cardiac Electrophysiology Physician
- Eatontown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 25MA13145300
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309615 | NY | MD | Licensed Practical Nurse |
| 25MA13145300 | NJ | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Suffolk Medical, P.C. | Single Specialty | Current | Accepting new patients |
| Southwest Suffolk Medical PC | Current | Accepting new patients | |
| Monmouth Cardiology Associates, LLC | Single Specialty | Past | 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
- 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.
-
- Surgical Oncology Physician
- Smithtown, NY
- NPI 1104096049
Single Specialty
-
dba Samaritan Primary Care
- Family Medicine Physician
- Lindenhurst, NY
- NPI 1770919763
-
- Cardiovascular Disease Physician
- Eatontown, NJ
- NPI 1285601674
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.