Individual provider Active NPI

Matthew J Maccarrick, MD

  • Pediatric Critical Care Medicine Physician
  • Neptune, NJ
National Provider Identifier
1245319615
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
25MA07798400 Issued in NJ
Practice address
1945 Route 33
Ackerman
Neptune, NJ 07753-4859
Phone
(732) 776-4420
Fax
(732) 776-3178
NPI assigned
Nov 4, 2006
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 25MA07798400 NJ Primary

Addresses

Primary practice location

1945 Route 33
Ackerman
Neptune, NJ 07753-4859

Mailing address

1945 Route 33
Pediatrics - Ackerman 2
Neptune, NJ 07753-4859
Phone (732) 776-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NM2 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
I20090414000010 NJ Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4880741644 Reassigns benefits to 2 organizations
I20100611000580 NM Practitioner - Pediatric Medicine 4880741644 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince May 23, 2010 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 23, 2010 Accepting new patients
Pediatric Critical Care Associates at Saint Barnabas Pediatric Critical Care Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Barnabas Health Medical Group PC Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: matthew.maccarrick@direct.hackensackmeridian.org

Organizations & group practices 7

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1245319615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "PEDIATRICS - ACKERMAN 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4420",
            "fax_number": "732-776-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "ACKERMAN",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4420",
            "fax_number": "732-776-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARRICK",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NJ",
            "license": "25MA07798400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.