Active NPI
Marie-Ange Mathis, APN
- Family Nurse Practitioner
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14929200
- Practice address
- 26 Main St
Edison, NJ 08837-3418 - Phone
- (609) 358-2622
- NPI assigned
- Sep 29, 2023
- Last updated
- Sep 29, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ14929200 | NJ | Primary |
Addresses
Primary practice location
26 Main St
Edison, NJ 08837-3418
Mailing address
21 Vance Ave
Sicklerville, NJ 08081-2199
Phone (856) 472-4986
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
456 Chestnut St
Suite 102
Lakewood, NJ 08701-6124
Phone (732) 486-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14929200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Personal NP Services, LLC | Current | Accepting new patients | |
| Patient Care Medical Group PC | Current | Accepting new patients | |
| Vitality NP Group LLC | Past | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1639959414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 VANCE AVE",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080812199",
"telephone_number": "856-472-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MAIN ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088373418",
"telephone_number": "609-358-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "MARIE-ANGE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ14929200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.