Active NPI
Alan Mathew, DMD
- Dentist
- Morristown, NJ
National Provider Identifier
1568195154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02911000
- Practice address
- 29 Elm St
Morristown, NJ 07960-4101 - Phone
- (973) 538-2563
- NPI assigned
- Jul 1, 2022
- Last updated
- Jul 1, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02911000 | NJ | Primary |
Addresses
Primary practice location
29 Elm St
Morristown, NJ 07960-4101
Mailing address
109 River Edge Rd
Bergenfield, NJ 07621-1131
Phone (201) 972-0738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02911000 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Dental Associates,LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Morristown, NJ
- NPI 1740339696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1568195154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 RIVER EDGE RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211131",
"telephone_number": "201-972-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ELM ST",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079604101",
"telephone_number": "973-538-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ALAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02911000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.