NPIMap

Individual provider Active NPI

Matthew Joseph Solitro, MD

  • Nephrology Physician
  • Hainesport, NJ
National Provider Identifier
1306870555
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA 80656 Issued in NJ
Practice address
1261 Route 38
Suite a
Hainesport, NJ 08036-2702
Phone
(856) 222-1975
Fax
(856) 222-0721
NPI assigned
Jul 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA 80656 NJ Primary

Addresses

Primary practice location

1261 Route 38
Suite a
Hainesport, NJ 08036-2702

Mailing address

1261 Route 38
Suite a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

Other identifiers 2

IdentifierTypeStateIssuer
DO 89056OtherNJCDS CERTIFICATE
MA 80656OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000389 NJ Practitioner - Nephrology 7911004254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Kidney Care, PCGroup PAC ID 3577549666, 13 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

1261 Route 38
Suite a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 80656NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Kidney Care, P.C. Nephrology CurrentSince Jul 5, 2006 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Jul 1, 2006 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1900 Mount Holly Rd
Ste 4D
Burlington Township, NJ 08016
Phone (856) 222-1975

1261 Route 38
#A
Hainesport, NJ 08036
Phone (856) 222-1975

1025 Briggs Rd
Ste 148
Mount Laurel, NJ 08054
Phone (856) 222-1975

1542 Kuser Rd
Ste B3
Trenton, NJ 08619
Phone (609) 585-1800

Interoperability endpoints

  • Direct secure messaging: msolitro35759@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306870555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38",
            "address_2": "SUITE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975",
            "fax_number": "856-222-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38",
            "address_2": "SUITE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975",
            "fax_number": "856-222-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLITRO",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA 80656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS CERTIFICATE",
            "identifier": "DO 89056",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA 80656",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.