Individual provider Active NPI

Janete Toneline Matheson, DDS

  • General Practice Dentistry
  • Egg Harbor TWP, NJ
National Provider Identifier
1336288265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI021393 Issued in NJ
Practice address
3003 English Creek Ave
Suite 215
Egg Harbor TWP, NJ 08234-4880
Phone
(609) 677-7573
Fax
(609) 677-8717
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI021393 NJ Primary

Addresses

Primary practice location

3003 English Creek Ave
Suite 215
Egg Harbor TWP, NJ 08234-4880

Mailing address

3003 English Creek Ave
Suite 215
Egg Harbor TWP, NJ 08234-4880
Phone (609) 677-7573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000513 TX Practitioner - Dentist 4688966799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI021393NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation General Practice Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 15, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336288265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 ENGLISH CREEK AVE",
            "address_2": "SUITE 215",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082344880",
            "telephone_number": "609-677-7573",
            "fax_number": "609-677-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 ENGLISH CREEK AVE",
            "address_2": "SUITE 215",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082344880",
            "telephone_number": "609-677-7573",
            "fax_number": "609-677-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "JANETE",
        "middle_name": "TONELINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.