Individual provider Active NPI

Matthew L Moront, M.D.

  • Pediatric Surgery Physician
  • Wilmington, DE
National Provider Identifier
1508814146
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD068661L Issued in PA
Practice address
1600 Rockland Rd
Nemours Dupont Pediatrics
Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-4945
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD068661L PA Primary
Pediatric Surgery Physician 2086S0120X 25MA07298100 NJ

Addresses

Primary practice location

1600 Rockland Rd
Nemours Dupont Pediatrics
Wilmington, DE 19803-3607

Mailing address

PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (302) 651-6212

Other identifiers 1

IdentifierTypeStateIssuer
0017693480003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130731000639 PA Practitioner - Pediatric MedicinePractitioner - General Surgery 2264335413 Reassigns benefits to 1 organization
I20161228000072 NJ Practitioner - Pediatric MedicinePractitioner - General Surgery 2264335413 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Cooper Surgical Associates, PA CurrentSince Dec 1, 2016 Accepting new patients
Cooper Pediatric Specialists, PC CurrentSince Mar 1, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Cooper Surgical Associates, PA Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatric Surgery Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

542 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-3393

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

110 Marter Ave
Ste 402
Moorestown, NJ 08057
Phone (856) 234-7073

4 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4050

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

6200 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

6015 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339

900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565

900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: mmoront50683@direct.cooperhealth.edu

Organizations & group practices 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1508814146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPARTMENT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "address_2": "NEMOURS DUPONT PEDIATRICS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONT",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD068661L",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "25MA07298100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017693480003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.