Individual provider Active NPI

Matthew Brown, DMD

  • Dentist
  • Tuckerton, NJ
National Provider Identifier
1043542996
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02477300 Issued in NJ
Practice address
345 East Main St
Ste 2805
Tuckerton, NJ 08087
Phone
(609) 296-8700
Fax
(732) 364-3559
NPI assigned
Feb 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02477300 NJ Primary

Addresses

Primary practice location

345 East Main St
Ste 2805
Tuckerton, NJ 08087

Mailing address

345 East Main St
Ste 2805
Tuckerton, NJ 08087
Phone (609) 296-8700

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000170 NJ Order and Referring Only - DentistPractitioner - Dentist 2062716970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02477300NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1043542996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 EAST MAIN ST",
            "address_2": "STE 2805",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "08087",
            "telephone_number": "609-296-8700",
            "fax_number": "732-364-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EAST MAIN ST",
            "address_2": "STE 2805",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "08087",
            "telephone_number": "609-296-8700",
            "fax_number": "732-364-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02477300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckerton, NJ

Sources for this page

Verify at the official NPI Registry.