Ricardo Matienzo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA075238 Issued in NJ

Practice address

450 7TH St
Suite 9
Hoboken, NJ 07030-2057

Phone

(201) 659-0711

Fax

(201) 659-4117

NPI assigned

Oct 3, 2005

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shah Anuj MD PCGroup PAC ID 5395006902, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
• Direct secure messaging: ricardo.matienzo@direct.hobokenumc.md

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.

• Dr Matienzo Health Care PA

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1053534198
  Medicare reassignment NPD Authorized official
• Shah Anuj MD PC

  dba Apex Heart and Vascular Care

  • Interventional Cardiology Physician
  • Passaic, NJ
  • NPI 1215445127
  Medicare reassignment Care Compare group NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMMG New Jersey Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• Therapro Medical and Surgical Rehabilitation, P.C.

  • Interventional Pain Medicine Physician
  • North Bergen, NJ
  • NPI 1326338781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1306833660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH ST",
            "address_2": "SUITE 9",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302057",
            "telephone_number": "201-659-0711",
            "fax_number": "201-659-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH ST",
            "address_2": "SUITE 9",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302057",
            "telephone_number": "201-659-0711",
            "fax_number": "201-659-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIENZO",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA075238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9033009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Mascarenhas, DDS
• Shanelle Mason, MD
• Lalitha Masson, M.D., P.A.
• Jillian Mastrobattista
• Hussein Matari, MD
• Megan Kathleen Matson, MS, CCC-SLP
• Yogini Mavani, DO
• Konstantinos Mavropoulos, PT, DPT, FAAOMPT
• Maxim Brain and Spine
• Maximum Health & Wellness Hoboken LLC

• Family Medicine Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.