Individual provider Active NPI

Matthew Brian Herndon, RN CNOR

  • Registered Nurse
  • Sewell, NJ
National Provider Identifier
1396672028
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR12630300 Issued in NJ
Practice address
540 Egg Harbor Rd
Sewell, NJ 08080-2336
Phone
(856) 218-4900
NPI assigned
May 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR12630300 NJ Primary

Addresses

Primary practice location

540 Egg Harbor Rd
Sewell, NJ 08080-2336

Mailing address

566 Greenbriar Dr
Williamstown, NJ 08094-1148
Phone (856) 582-2500

Other practice location 1

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 582-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR12630300NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1396672028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 GREENBRIAR DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941148",
            "telephone_number": "856-582-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802336",
            "telephone_number": "856-218-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-582-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "RN CNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12630300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.