NPIMap

Individual provider Active NPI

Tittymol Mathew, M.D

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1114950565
Registry record updated Aug 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71468 Issued in NJ
Practice address
530 Lakehurst Rd
Suite 307
Toms River, NJ 08755-8063
Phone
(732) 341-8901
Fax
(732) 341-8906
NPI assigned
Jul 9, 2006
Last updated
Aug 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA71468 NJ Primary

Addresses

Primary practice location

530 Lakehurst Rd
Suite 307
Toms River, NJ 08755-8063

Mailing address

9 Crown CT
Tinton Falls, NJ 07724-4440
Phone (732) 922-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031110000210 NJ Practitioner - Internal Medicine 8426961137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

530 Lakehurst Rd
Toms River, NJ 08755-8063
Phone (732) 341-8901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA71468NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Internal Medicine, LLC Internal Medicine CurrentSince Oct 16, 2000 Accepting new patients
Ocean Adult Medical Group, L.L.C. Internal Medicine Past Accepting new patients

Locations

530 Lakehurst Rd
Ste 307
Toms River, NJ 08755
Phone (732) 341-8901

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313798400000",
    "number": "1114950565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CROWN CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077244440",
            "telephone_number": "732-922-3278",
            "fax_number": "732-341-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 307",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-341-8901",
            "fax_number": "732-341-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "TITTYMOL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.