Individual provider Active NPI

Danielle Marie Matias, APN-BC, WHNP

  • Women's Health Nurse Practitioner
  • Neptune City, NJ
National Provider Identifier
1245832666
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ01076400 Issued in NJ
Practice address
1828 W Lake Ave
Neptune City, NJ 07753-4663
Phone
(732) 869-5700
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01076400 NJ Primary

Addresses

Primary practice location

1828 W Lake Ave
Neptune City, NJ 07753-4663

Mailing address

1828 W Lake Ave
Neptune City, NJ 07753-4663
Phone (732) 869-5700

Other practice location 1

8 Rodeo Dr
Jackson, NJ 08527-4461
Phone (732) 534-5491

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01076400OtherNJAPN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jackson

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330002697 NJ Practitioner - Nurse Practitioner 9234546664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01076400NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC CurrentSince Mar 24, 2021 Accepting new patients
Regional Womens Health Group LLC CurrentSince Mar 24, 2021 Accepting new patients

Locations

172 Summerhill Rd
Ste 1
East Brunswick, NJ 08816
Phone (732) 254-1500

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

Organizations & group practices 2

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1245832666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-869-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "732-869-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Rodeo Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085274461",
            "country_code": "US",
            "telephone_number": "732-534-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APN-BC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01076400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "26NJ01076400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jackson",
            "affiliation": "N",
            "address_1": "8 Rodeo Dr",
            "city": "Jackson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085274461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

Verify at the official NPI Registry.