Individual provider Active NPI

Matthew Dever, MD

  • Pediatrics Physician
  • Toms River, NJ
National Provider Identifier
1639104706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07456800 Issued in NJ
Practice address
40 Bey Lea Rd
Ste B203
Toms River, NJ 08753-2900
Phone
(732) 341-0720
Fax
(732) 244-6842
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07456800 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
Ste B203
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
Ste B203
Toms River, NJ 08753-2900
Phone (732) 341-0720

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07456800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Affiliates PA Pediatrics Current Accepting new patients
Ivy Pediatrics, PA Pediatrics Past Accepting new patients
Advocare , LLC Pediatrics PastSince Apr 23, 2023 Accepting new patients

Locations

40 Bey Lea Rd
Ste B203
Toms River, NJ 08753
Phone (732) 341-0720

Interoperability endpoints

  • Direct secure messaging: matthewdever@pediatricaff.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639104706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "STE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "STE B203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-0720",
            "fax_number": "732-244-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVER",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07456800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.