Individual provider Active NPI

Matthew Patrick Griffin, M.D.

  • Internal Medicine Physician
  • Mexico, MO
National Provider Identifier
1457500704
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09729800 Issued in NJ
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

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711003484 NJ Practitioner - Internal Medicine 6507040953 Reassigns benefits to 1 organization

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
Tri-State SpecialistsGroup PAC ID 6800121930, 8 clinicians

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

LicenseStateTypeSpecialty
25MA09729800NJMDInternal Medicine Physician
LP01545RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Comp Concussion LLC Multi-Specialty CurrentSince Apr 27, 2025 Accepting new patients
Tri-State Specialists LLC Multi-Specialty CurrentSince Apr 10, 2019 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.