Active NPI
Matthew Patrick Griffin, M.D.
- Internal Medicine Physician
- Mexico, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09729800
- Practice address
- 600 Medical Park Dr
Mexico, MO 65265-3724 - Phone
- (573) 581-8500
- Fax
- (573) 581-5397
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09729800 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | LP01545 | RI |
Addresses
Primary practice location
600 Medical Park Dr
Mexico, MO 65265-3724
Mailing address
116 S Euclid Ave
Ste 1
Westfield, NJ 07090-2187
Phone (312) 509-3930
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
116 S Euclid Ave
Suite 1
Westfield, NJ 07090-2187
Phone (908) 588-2311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09729800 | NJ | MD | Internal Medicine Physician |
| LP01545 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Comp Concussion LLC | Multi-Specialty | Current | Accepting new patients |
| Tri-State Specialists LLC | Multi-Specialty | Current | Accepting new patients |
| SSM Audrain Health Care, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
1270 State Route 35
Ste 1
Middletown, NJ 07748
Phone (732) 615-3900
25 Lindsley Dr
Ste 208
Morristown, NJ 07960
Phone (862) 345-7955
119 Prospect St
Ste 3
Ridgewood, NJ 07450
Phone (201) 444-1600
300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311
116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551
116 S Euclid Ave
Westfield, NJ 07090
Phone (908) 233-4801
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1346808045
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1477340917
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1457500704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S EUCLID AVE",
"address_2": "STE 1",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902187",
"telephone_number": "312-509-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MEDICAL PARK DR",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653724",
"telephone_number": "573-581-8500",
"fax_number": "573-581-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MATTHEW",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09729800",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP01545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.