Individual provider Active NPI

Matthew P Cassells, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Chatham, NJ
National Provider Identifier
1346353208
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MP207 Issued in NJ
Practice address
40 Main St
New Jersey Spine Center
Chatham, NJ 07928-2431
Phone
(973) 635-0800
Fax
(973) 635-6254
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MP207 NJ Primary

Addresses

Primary practice location

40 Main St
New Jersey Spine Center
Chatham, NJ 07928-2431

Mailing address

40 Main St
New Jersey Spine Center
Chatham, NJ 07928-2431
Phone (973) 635-0800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080614000002 NJ Practitioner - Physician Assistant 8921179268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP207NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Surgical Assoc. Past Accepting new patients
Mid-Atlantic Surgical Associates Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1346353208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "address_2": "NEW JERSEY SPINE CENTER",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-0800",
            "fax_number": "973-635-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "address_2": "NEW JERSEY SPINE CENTER",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-0800",
            "fax_number": "973-635-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELLS",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "MP207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.