Active NPI
Michael J. Matarese, M.D.
- Internal Medicine Physician
- Lodi, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10464200
- Practice address
- 116 Terrace Ave
Lodi, NJ 07644-2905 - Phone
- (973) 473-3896
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 144046 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA10464200 | NJ | Primary |
Addresses
Primary practice location
116 Terrace Ave
Lodi, NJ 07644-2905
Mailing address
116 Terrace Ave
Lodi, NJ 07644-2905
Phone (973) 473-3896
Other practice location 1
254 W 10th St
New York, NY 10014-6422
Phone (212) 627-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00891121 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3628
Phone (732) 753-9890
4 Hunter St
Suite 203
Lodi, NJ 07644-1608
Phone (551) 996-9100
985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600
Hospital & facility affiliations
- Amedisys Home Health
- Visiting Health Services of New Jersey
- Valley Home Care Inc.
- Hackensack University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Internal Medicine | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
20 Prospect Ave
Ste 715
Hackensack, NJ 07601
Phone (201) 342-6600
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
4 Hunter St
Ste 206
Lodi, NJ 07644
Phone (973) 473-3896
116 Terrace Ave
Lodi, NJ 07644
Phone (201) 699-0508
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
Interoperability endpoints
- michael.matarese@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Internal Medicine
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
-
- Home Health Agency
- Woodland Park, NJ
- NPI 1518407642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1326190828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 TERRACE AVE",
"city": "LODI",
"state": "NJ",
"postal_code": "076442905",
"telephone_number": "973-473-3896",
"fax_number": "973-473-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 TERRACE AVE",
"city": "LODI",
"state": "NJ",
"postal_code": "076442905",
"telephone_number": "973-473-3896"
}
],
"practiceLocations": [
{
"address_1": "254 W 10th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100146422",
"country_code": "US",
"telephone_number": "212-627-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATARESE",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "144046",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10464200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00891121",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.