Active NPI
Matthew J. Willenkin, MD
- Anesthesiology Physician
- Moorestown, NJ
National Provider Identifier
1326069733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA12780700
- Practice address
- 509 S Lenola Rd
Moorestown, NJ 08057-1561 - Phone
- (800) 380-0111
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA12780700 | NJ | Primary |
Addresses
Primary practice location
509 S Lenola Rd
Moorestown, NJ 08057-1561
Mailing address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (165) 726-8035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131
Hospital & facility affiliations
- Nassau University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Center Anesthesia Group, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
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.
-
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1871522060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1326069733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 HEMPSTEAD TPKE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541859",
"telephone_number": "165-726-8035",
"fax_number": "516-572-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S LENOLA RD",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080571561",
"telephone_number": "800-380-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLENKIN",
"first_name": "MATTHEW",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA12780700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.