Individual provider Active NPI

Joseph J. Matula, DO

  • Emergency Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1649219056
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB52752 Issued in NJ
Practice address
1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone
(609) 584-6763
Fax
(609) 584-6428
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB52752 NJ Primary

Addresses

Primary practice location

1 Hamilton Health PL
Hamilton, NJ 08690-3542

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Other identifiers 1

IdentifierTypeStateIssuer
3736806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040903000329 NJ Practitioner - Emergency Medicine 5496721177 Reassigns benefits to 1 organization
I20180109000142 PA Practitioner - Emergency Medicine 5496721177 Reassigns benefits to 2 organizations
I20191204002408 NY Practitioner - Emergency Medicine 5496721177 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB52752NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Oct 21, 2019 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Aug 5, 1999 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1649219056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMILTON HEALTH PL",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "609-584-6763",
            "fax_number": "609-584-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULA",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB52752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.