Matawan Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA02570000 Issued in NJ

Legal business name

MATAWAN SURGICAL ASSOCIATES

Practice address

213 Main St
Matawan, NJ 07747-3221

Phone

(732) 566-2363

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Michael Keen

Title

Cfo

Phone

(732) 739-5907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346364049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "302-709-4542",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473221",
            "telephone_number": "732-566-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAWAN SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-739-5907"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA02570000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matawan Medical Associates PA
• Matawan Medical Center LLC
• Matawan Physical Therapy
• Matawan SNF Operations LLC
• Matawan SNF Operations LLC
• Matawan Vision Associates,PA
• Matawan Wellness Center
• Matawan-Aberdeen First Aid Squad
• Matawan/Old Bridge Dental, PA
• John Michael McElroy, D.M.D

• Surgery Physician in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.