Active NPI
Matthew W Lawrence, DO
- Vascular Surgery Physician
- Somers Point, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- OS010450L
- Practice address
- 649 Shore Rd
Somers Point, NJ 08244-2449 - Phone
- (609) 365-6200
- Fax
- (609) 926-4311
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C20007648 | DE | |
| Vascular Surgery Physician | 2086S0129X | OS010450L | PA | Primary |
Addresses
Primary practice location
649 Shore Rd
Somers Point, NJ 08244-2449
Mailing address
1 E. New York Ave
4TH Floor -SPG
Somers Point, NJ 08244
Phone (609) 653-3994
Other practice location 1
1500 Shallcross Ave
Ste 1 A
Wilmington, DE 19806-3037
Phone (302) 652-6050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0712591 | Medicaid | NJ | |
| 1013649230003 | Medicaid | PA | |
| 1000035617 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Medical Ctr Way
Suite V First Floor
Somers Point, NJ 08244
Phone (609) 365-6239
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Shore Medical Center
- Cape Regional Medical Center Inc
- Atlanticare Regional Medical Center - City Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 25 |
| Removal of tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20007648 | DE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Specialty Consultants | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients |
Locations
1500 Shallcross Ave
Ste 1A
Wilmington, DE 19806
Phone (302) 407-2457
4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202
710 Center St
Fl 2
Somers Point, NJ 08244
Phone (609) 365-6280
649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239
155 Medical Center Way
Ste V
Somers Point, NJ 08244
1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400
1 Medical Center Blvd
#428
Chester, PA 19013
Phone (610) 874-4044
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Interoperability endpoints
- matthew.lawrence.1@4024.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Somers Point, NJ
- NPI 1962808519
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
dba Drexel Emergency Medicine
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1639273345
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Reproductive Endocrinology Physician
- Chester, PA
- NPI 1730536251
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1922820901
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Somers Point, NJ
- NPI 1629070149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1093726101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E. NEW YORK AVE",
"address_2": "4TH FLOOR -SPG",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "08244",
"telephone_number": "609-653-3994",
"fax_number": "609-926-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 SHORE RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442449",
"telephone_number": "609-365-6200",
"fax_number": "609-926-4311"
}
],
"practiceLocations": [
{
"address_1": "1500 Shallcross Ave",
"address_2": "Ste 1 A",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198063037",
"country_code": "US",
"telephone_number": "302-652-6050",
"fax_number": "302-652-6053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MATTHEW",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2021-02-02",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C20007648",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "OS010450L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0712591",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013649230003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000035617",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.