Matthew J Pitera, M.D.
Individual provider Active NPI Psychiatry Physician · Toms River, NJ
NPI 1225097702 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1225097702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MA05960500 (NJ)
- Practice address
- 2446 Church Rd
Suite 2-D
Toms River, NJ 08753 - Phone
- (732) 244-6626
- Fax
- (732) 244-6623
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 35
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Peterson Medical Clinics LLC
Practice addresses (Care Compare)
1189 Shepherd CT
Toms River, NJ 08755-1456
Phone (701) 205-3000
1408 20TH Ave SW
Suite 5
Minot, ND 58701-6494
Phone (701) 205-3000
205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000
2446 Church Rd
Suite 2D
Toms River, NJ 08753-8182
Phone (732) 244-6626
3674 S Washington St
Grand Forks, ND 58201-5766
4501 15TH Ave SW
Suite 105
Fargo, ND 58103-8956
Phone (701) 205-3000
519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000
528 21St St W
Dickinson, ND 58601-2661
Phone (701) 205-3000
602 E Ash Ave
Glen Ullin, ND 58631-7138
Phone (701) 205-3000
960 S 24TH St W
Suite H
Billings, MT 59102-6450
Phone (701) 205-3000
PO Box
Suite 5210
Grand Forks, ND 58206-5210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in NJ, ND, MN, AK, TX, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041029000148 | NJ | Practitioner - Psychiatry |
9436111077 | Reassigns benefits to 2 organizations |
| I20140729000726 | ND | Practitioner - Psychiatry | 9436111077 | Reassigns benefits to 1 organization |
| I20141121001827 | MN | Practitioner - Psychiatry | 9436111077 | Reassigns benefits to 3 organizations |
| I20181212003240 | AK | Practitioner - Psychiatry | 9436111077 | Reassigns benefits to 2 organizations |
| I20200702000180 | TX | Practitioner - Psychiatry | 9436111077 | Reassigns benefits to 2 organizations |
| I20260316000172 | MT | Practitioner - Psychiatry | 9436111077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1955 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Astera Health | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Peterson Medical Clinics, LLC | Psychiatry | Current |
Accepting new patients |
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Bristol Bay Area Health Corportation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Astera Health | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Meridian Hospitals Corporation, Inc. Dba Jersey Shore University Medic | Psychiatry | Past | Accepting new patients |
| Southwestern Dist Health Unit | Past | Accepting new patients | |
| Bridges Behavioral Health Care | Psychiatry | Past | Accepting new patients |
| Psychiatric Associates LLP | Psychiatry | Past | Accepting new patients |
| Lake Country Associates, Inc. | Past |
Accepting new patients |
Locations
3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440
205 E Benson Blvd
Ste 401
Anchorage, AK 99503
123 3rd Ave E
Ste 300
Alexandria, MN 56308
700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935
519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612
205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251
515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066
705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211
401 12th St N
Wheaton, MN 56296
Phone (320) 563-8226
960 S 24th St W
Ste H
Billings, MT 59102
Phone (406) 272-2376
721 Central Ave
#107
Great Falls, MT 59401
424 S 3rd St
Ste 1
Bismarck, ND 58504
528 21st St W
Dickinson, ND 58601
Phone (701) 483-0171
4501 15th Ave SW
Ste 105
Fargo, ND 58103
3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538
1451 44th Ave S
Ste A
Grand Forks, ND 58201
Phone (701) 732-2700
1408 20th Ave SW
Ste 5
Minot, ND 58701
555 Lake Ave E
Ste 1
Napoleon, ND 58561
Phone (701) 754-2322
215 3rd Ave W
Richardton, ND 58652
Phone (701) 974-3372
800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261
Interoperability endpoints
- mjpitera@direct.nshcorp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA05960500 | NJ | Yes |
| Addiction Psychiatry Physician | 2084P0802X | 25MA05960500 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA05960500 | NJ |
Addresses
Primary practice location
2446 Church Rd
Suite 2-D
Toms River, NJ 08753
Mailing address
2446 Church Rd
Suite 2-D
Toms River, NJ 08753
Phone (732) 244-6626
Other providers in Toms River, NJ
- Pinnacle Treatment Centers NJ I Inc
- Pinnacle Treatment Centers NJ-I, LLC
- Joseph Pinsker
- Pipitone Counseling Service LLC
- Kristina Piscioneri
- Kutumba S Pitta
- Pivot Counseling Services LLC
- Erin Pizzolato
- Pizzolo Chiropractic Results LLC
- Ginamarie P. Pizzolo
All providers in Toms River, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.