Shrikrishna Kashinath Mate

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03152100 Issued in NJ

Practice address

525 Jack Martin Blvd
Suite 102
Brick, NJ 08724

Phone

(732) 458-1177

Fax

(732) 458-5942

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376646687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-1177",
            "fax_number": "732-458-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-1177",
            "fax_number": "732-458-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATE",
        "first_name": "SHRIKRISHNA",
        "middle_name": "KASHINATH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03152100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "011924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HMO",
            "identifier": "J0918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY STATEPLAN",
            "identifier": "1077539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Kathleen Martinez
• Raiena Martinez
• Samantha Martino, DC
• Stephen J Martino, M.D.
• Michael Marzella, R.PH.
• Brian Mathew, DO
• Brittany Matthews, OTR/L
• Hillary Christine Mauger, PT, DPT
• Maurice B. Hill, Jr., D.M.D., and Michael R. Dellarosa, D.M.D., P.a.
• William Reese Mayer, PH.D.

• Pediatrics Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.