Individual provider Active NPI

Ronald Matteotti, MD

  • Surgical Oncology Physician
  • Neptune, NJ
National Provider Identifier
1356546683
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA08889100 Issued in NJ
Practice address
1944 Route 33
Suite 203
Neptune, NJ 07753-4862
Phone
(732) 776-4700
Fax
(732) 776-3763
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 57.012145 OH
Surgery Physician 208600000X MD436827 PA
Surgical Oncology Physician 2086X0206X 25MA08889100 NJ Primary

Addresses

Primary practice location

1944 Route 33
Suite 203
Neptune, NJ 07753-4862

Mailing address

1944 Route 33
Suite 203
Neptune, NJ 07753-4862
Phone (732) 776-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090522000037 PA Practitioner - General Surgery 9739238742 Reassigns benefits to 1 organization
I20111018000322 NJ Practitioner - General SurgeryPractitioner - Surgical Oncology 9739238742 Reassigns benefits to 1 organization
I20130911000814 MA Practitioner - General Surgery 9739238742 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.012145OHMDSpecialist
MD436827PAMDSurgery Physician
25MA08889100NJMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc Current Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Jul 1, 2021 Accepting new patients
Somerset Health Services, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Surgery CurrentSince Nov 1, 2015 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Heywood Medical Group Inc CurrentSince Jul 1, 2021 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Henry Heywood Memorial Hospital Current Accepting new patients
Heywood Medical Group Inc. CurrentSince Jul 1, 2021 Accepting new patients
Somerset Health Services, Inc. CurrentSince Jan 16, 2024 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

1944 State Route 33
Ste 203
Neptune, NJ 07753
Phone (732) 776-4755

2006 State Route 35
Spring Lake, NJ 07762
Phone (732) 282-0719

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Organizations & group practices 10

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1356546683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 ROUTE 33",
            "address_2": "SUITE 203",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-776-4700",
            "fax_number": "732-776-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 ROUTE 33",
            "address_2": "SUITE 203",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-776-4700",
            "fax_number": "732-776-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEOTTI",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "57.012145",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD436827",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA08889100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.