Individual provider Active NPI

Ajit Mathur, MD

  • Pediatrics Physician
  • Cape May Court House, NJ
National Provider Identifier
1124049200
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07616400 Issued in NJ
Practice address
2041 N Route 9
Cape May Court House, NJ 08210-1162
Phone
(609) 624-9003
Fax
(609) 624-9002
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07616400 NJ Primary

Addresses

Primary practice location

2041 N Route 9
Cape May Court House, NJ 08210-1162

Mailing address

PO Box 617
Ocean View, NJ 08230-0617
Phone (609) 624-9003

Other identifiers 1

IdentifierTypeStateIssuer
0026689MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000831 NJ Practitioner - Pediatric Medicine 5395769301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07616400NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Feb 27, 2017 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Advocare , LLC CurrentSince Nov 1, 2020 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Feb 27, 2017 Accepting new patients
Rainbow Pediatrics PC Pediatrics Past Accepting new patients

Locations

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

528 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-6100

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: ajit.mathur@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1124049200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082300617",
            "telephone_number": "609-624-9003",
            "fax_number": "609-624-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101162",
            "telephone_number": "609-624-9003",
            "fax_number": "609-624-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "AJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07616400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026689",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.