Individual provider Active NPI

Matthew Shatz, MD

  • Anesthesiology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1447251020
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA05424800 Issued in NJ
Practice address
1 Diamond Hill Rd FL 3
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8872
Fax
(908) 464-4930
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54248 NJ
Anesthesiology Physician 207L00000X 25MA05424800 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd FL 3
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

7600 River Rd
Palisades Medical Center
North Bergen, NJ 07047-6217
Phone (201) 854-5172

Other identifiers 2

IdentifierTypeStateIssuer
4574605MedicaidNJ
050017640OtherNJRAIL ROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001549 NJ Practitioner - Anesthesiology 8123926557 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ambulatory Anesthesia LLCGroup PAC ID 9335134170, 9 clinicians

Practice addresses (Care Compare)

1176 Hamburg Tpke
Wayne, NJ 07470-5069
Phone (973) 709-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05424800NJMDAnesthesiology Physician
54248NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Stellar Anesthesia Associates LLC Anesthesiology CurrentSince Aug 10, 2021 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jun 2, 2023 Accepting new patients

Locations

1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

14 Ridgedale Ave
Ste 120
Cedar Knolls, NJ 07927
Phone (973) 605-5151

164 Brighton Rd
Clifton, NJ 07012
Phone (973) 778-3111

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

1825 State Route 23
Wayne, NJ 07470
Phone (973) 633-1480

61 Main St
Ste D
West Orange, NJ 07052
Phone (973) 243-5777

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1447251020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD FL 3",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8872",
            "fax_number": "908-464-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 River Rd",
            "address_2": "Palisades Medical Center",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070476217",
            "country_code": "US",
            "telephone_number": "201-854-5172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHATZ",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "54248",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05424800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "050017640",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.