NPIMap

Individual provider Active NPI

Matthew Jared Davis, MD

  • Neurology Physician
  • Middletown, NJ
National Provider Identifier
1629238860
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09056000 Issued in NJ
Practice address
1000 State Route 35 Ste 101
Middletown, NJ 07748-2609
Phone
(732) 629-9699
Fax
(732) 724-9802
NPI assigned
Jun 11, 2008
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 25MA09056000 NJ
Neurology Physician 2084N0400X 25MA09056000 NJ Primary

Addresses

Primary practice location

1000 State Route 35 Ste 101
Middletown, NJ 07748-2609

Mailing address

1000 Rte 35 Ste 101
Middletown, NJ 07748-2609
Phone (732) 629-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000436 NJ Practitioner - Neurology 4789848268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Buffalo School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First MDGroup PAC ID 3779939244, 5 clinicians
SD MiddletownGroup PAC ID 6103187695, 5 clinicians
Sleep DynamicsGroup PAC ID 6507164175, 6 clinicians

Practice addresses (Care Compare)

1000 Rte
35 Suite 101
Middletown, NJ 07748-2609
Phone (732) 629-9699

2240 State Route 33
Suite 114
Neptune, NJ 07753-6121
Phone (732) 455-3030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09056000NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Dynamics CurrentSince Mar 1, 2016 Accepting new patients
Patient First MD CurrentSince Sep 29, 2023 Accepting new patients

Locations

1000 State Route 35
Ste 101
Middletown, NJ 07748
Phone (732) 629-9699

2240 State Route 33
Ste 114
Neptune City, NJ 07753
Phone (732) 455-3030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629238860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RTE 35 STE 101",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482609",
            "telephone_number": "732-629-9699",
            "fax_number": "732-724-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATE ROUTE 35 STE 101",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482609",
            "telephone_number": "732-629-9699",
            "fax_number": "732-724-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NJ",
            "license": "25MA09056000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09056000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.