Active NPI
Mary Mathew
- Rheumatology Physician
- Stratford, NJ
National Provider Identifier
1487279543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MB13128300
- Practice address
- 42 E Laurel Rd Ste 3100E
Stratford, NJ 08084-1354 - Phone
- (856) 566-6409
- Fax
- (856) 566-6333
- NPI assigned
- Jun 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MB13128300 | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd Ste 3100E
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd Ste 3100E
Stratford, NJ 08084-1354
Phone (856) 566-6409
Other practice location 1
7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7761
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmathew175439@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Alabama College of Osteopathic Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
301 Lippincott Dr
Marlton, NJ 08053-4178
303 Lippincott Dr
Suite 200
Marlton, NJ 08053-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1487279543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 3100E",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-6409",
"fax_number": "856-566-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 3100E",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-6409",
"fax_number": "856-566-6333"
}
],
"practiceLocations": [
{
"address_1": "7031 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434701",
"country_code": "US",
"telephone_number": "305-284-7761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-14",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MB13128300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmathew175439@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 3100E",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.