Nidal Matalkah, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA061937 Issued in NJ

Practice address

401 Hamburg Tpke
Suite 107
Wayne, NJ 07470-2154

Phone

(973) 595-7456

Fax

(973) 904-9119

NPI assigned

Oct 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmatalkah59248@direct.ahsys.org
• Direct secure messaging: nidal.matalkah.2@5622.direct.athenahealth.com

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment Care Compare group NPD
• Secaucus Physician Associates

  • Critical Care Medicine (Internal Medicine) Physician
  • Secaucus, NJ
  • NPI 1700254414
  Medicare reassignment NPD
• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment NPD
• Elite Pulmonary and Sleep Medicine PA

  • Pulmonary Disease Physician
  • Wayne, NJ
  • NPI 1952068348

  Critical Care Medicine

  NPD Authorized official
• Louis J Petracca MD PA

  • Pulmonary Disease Physician
  • Bloomfield, NJ
  • NPI 1457610156
  NPD (past)
• Pompton Lakes Pulmonary, P.C.

  • Pulmonary Disease Physician
  • Lincoln Park, NJ
  • NPI 1568417210
  NPD (past)
• Wayne Hills Medical Associates PA

  • Pulmonary Disease Physician
  • Wayne, NJ
  • NPI 1619092517

  Critical Care Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1447336771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-595-7456",
            "fax_number": "973-904-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 107",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-595-7456",
            "fax_number": "973-904-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALKAH",
        "first_name": "NIDAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MA061937",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA061937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6826407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony R. Masino
• Ellen Salb Masnaghetti, LCSW
• Kiersten Massa, LPC, LCADC
• Maria G Master
• Hamzah Matalkah, DMD
• William A Matarese, MD
• Nuha M Matari, LPC
• George Thomas Mathew, M.D.
• Stephen F Mattel, MD
• Stephen A Mattera, DC

• Pulmonary Disease Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.