Individual provider Active NPI

Matthew Kelly Janssen, M.D.

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1215399472
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA11848600 Issued in NJ
Practice address
800 Spruce St
Philadelphia, PA 19107-6130
Phone
(720) 201-6450
NPI assigned
Mar 25, 2016
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X 25MA11848600 NJ Primary

Addresses

Primary practice location

800 Spruce St
Philadelphia, PA 19107-6130

Mailing address

800 Spruce St
Philadelphia, PA 19107-6192
Phone (215) 829-5145

Other practice location 1

698 Mullica Hill Rd
Mullica Hill, NJ 08062-4452
Phone (856) 508-3625

Other practice location 2

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803003045 PA Practitioner - Obstetrics/Gynecology 9032570296 Reassigns benefits to 2 organizations
I20230803003238 NJ Practitioner - Obstetrics/Gynecology 9032570296 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Memorial HospitalGroup PAC ID 1052493202, 18 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

800 Walnut Street 10TH Floor
Philadelphia, PA 19107-5109
Phone (215) 829-2345

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Multi-Specialty Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Multi-Specialty CurrentSince Aug 14, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Aug 14, 2023 Accepting new patients
Shore Memorial Hospital Multi-Specialty CurrentSince Aug 29, 2024 Accepting new patients
University of Penn-Medical Group Multi-Specialty CurrentSince Aug 14, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Multi-Specialty CurrentSince Aug 14, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Multi-Specialty CurrentSince Nov 6, 2023 Accepting new patients
University of Penn-Medical Group Multi-Specialty CurrentSince Aug 14, 2023 Accepting new patients
Inspira Health Network Medical Group, P.C. Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 14, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Multi-Specialty Current Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients
University of Penn - Medical Group Multi-Specialty Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (856) 429-0400

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

698 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

698 Mullica Hill Rd
Ste 240
Mullica Hill, NJ 08062
Phone (856) 641-7960

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

5 Plainsboro Rd
Ste 180
Plainsboro, NJ 08536
Phone (609) 853-7070

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

800 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 573-8886

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1215399472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076192",
            "telephone_number": "215-829-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "720-201-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624452",
            "country_code": "US",
            "telephone_number": "856-508-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-2982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "MATTHEW",
        "middle_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA11848600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.