Active NPI
Kant Michael Matsuda, M.D. PH.D.
- Anatomic Pathology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 25MA10489500
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901 - Phone
- (732) 828-3000
- NPI assigned
- Apr 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 25MA10489500 | NJ | Primary |
| Anatomic Pathology Physician | 207ZP0101X | MD04625 | DC |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901
Mailing address
109 Shearwater CT E Apt 24
Jersey City, NJ 07305-5405
Phone (857) 523-0219
Other practice location 1
2120 L St NW
Washington, DC 20037
Phone (202) 677-6600
Other practice location 2
550 1st Ave
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506
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
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Rutgers Health RWJ Pathology
New Brunswick, NJ 08901-1928
Phone (732) 937-8651
Hospital & facility affiliations
- Robert Wood Johnson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD04625 | DC | MD | Anatomic Pathology Physician |
| 25MA10489500 | NJ | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Anatomic Pathology | Current | Accepting new patients |
Locations
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051
Organizations & group practices 4
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
- New Brunswick, NJ
- NPI 1780766527
-
- Blood Banking & Transfusion Medicine Physician
- Newark, NJ
- NPI 1871503474
Anatomic Pathology
-
- Critical Care Medicine (Anesthesiology) Physician
- New Brunswick, NJ
- NPI 1376551093
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1609193069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHEARWATER CT E APT 24",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073055405",
"telephone_number": "857-523-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "732-828-3000"
}
],
"practiceLocations": [
{
"address_1": "2120 L St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20037",
"country_code": "US",
"telephone_number": "202-677-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 1st Ave",
"address_2": "NYU Langone Medical Center",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATSUDA",
"first_name": "KANT",
"middle_name": "MICHAEL",
"credential": "M.D. PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NJ",
"license": "25MA10489500",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "DC",
"license": "MD04625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.