Individual provider Active NPI

Andrew Matos, PT, DPT

  • Physical Therapist
  • Cedar Knolls, NJ
National Provider Identifier
1205484680
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01880600 Issued in NJ
Practice address
240 Cedar Knolls Rd
Cedar Knolls, NJ 07927-1621
Phone
(973) 998-8100
NPI assigned
Aug 29, 2019
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01880600 NJ Primary

Addresses

Primary practice location

240 Cedar Knolls Rd
Cedar Knolls, NJ 07927-1621

Mailing address

900 Route 9 N FL 4
Woodbridge, NJ 07095-1025
Phone (201) 801-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince May 11, 2021 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Oct 23, 2019 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Jul 19, 2022 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Jul 19, 2022 Accepting new patients
Jag-One Physical Therapy, LLC PastSince Oct 23, 2019 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

240 Cedar Knolls Rd
Cedar Knolls, NJ 07927
Phone (973) 998-8100

461 Main St
Chatham, NJ 07928
Phone (973) 635-1000

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

141 Route 46
Rockaway, NJ 07866
Phone (973) 983-5607

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1205484680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 9 N FL 4",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951025",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CEDAR KNOLLS RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271621",
            "telephone_number": "973-998-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01880600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.