Active NPI
David G. Mattes, MD
- Family Medicine Physician
- Newton, NJ
National Provider Identifier
1336188473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04836900
- Practice address
- 181 High St
Newton, NJ 07860-1020 - Phone
- (973) 383-9898
- Fax
- (973) 383-9665
- NPI assigned
- Jun 5, 2006
- Last updated
- Oct 14, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA04836900 | NJ | Primary |
Addresses
Primary practice location
181 High St
Newton, NJ 07860-1020
Mailing address
997 Fairview Lake Rd
Newton, NJ 07860-4007
Phone (973) 579-7703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011592 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Collini, M.D., P.a. | Past | Accepting new patients | |
| Hogarth Emergency Physicians | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1770532343
-
- Specialist
- Newton, NJ
- NPI 1144426602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1336188473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 FAIRVIEW LAKE RD",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078604007",
"telephone_number": "973-579-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 HIGH ST",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078601020",
"telephone_number": "973-383-9898",
"fax_number": "973-383-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTES",
"first_name": "DAVID",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA04836900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011592",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.