Active NPI
Rahul Gurbux Matnani
- Hematology (Pathology) Physician
- Rutherford, NJ
National Provider Identifier
1649565987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- 25MA10134400
- Practice address
- 201 Route 17 FL 2
Rutherford, NJ 07070 - Phone
- (201) 528-9200
- NPI assigned
- Jun 15, 2011
- 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 & Clinical Pathology Physician | 207ZP0102X | 25MA10134400 | NJ | |
| Hematology (Pathology) Physician | 207ZH0000X | 25MA10134400 | NJ | Primary |
Addresses
Primary practice location
201 Route 17 FL 2
Rutherford, NJ 07070
Mailing address
201 Route 17 FL 2
Rutherford, NJ 07070-2597
Phone (201) 528-9200
Other practice location 1
25 Riverside Dr Ste 2
Pine Brook, NJ 07058-9391
Phone (201) 599-9044
Other practice location 2
Dept Of Pathology University Of Kentucky
800 Rose St., MS 121 Wm R Willard Medical Ed Building
Lexington, KY 40536-0001
Phone (859) 323-6183
Other names 1
- Dr. Rahul Gurbaksh Matnani
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Genetics Inc | Past | Accepting new patients | |
| Siparadigm LLC | Past | Accepting new patients | |
| Englewood Pathologists, PA | Hematology | Past | Accepting new patients |
| Cancer Genetics Inc. | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Rutherford, NJ
- NPI 1215980610
-
- Anatomic Pathology & Clinical Pathology Physician
- Englewood, NJ
- NPI 1053366054
Hematology
-
- Clinical Medical Laboratory
- Pine Brook, NJ
- NPI 1891909941
-
- Clinical Medical Laboratory
- Los Angeles, CA
- NPI 1740651173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546041600000",
"number": "1649565987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ROUTE 17 FL 2",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702597",
"telephone_number": "201-528-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ROUTE 17 FL 2",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-528-9200"
}
],
"practiceLocations": [
{
"address_1": "25 Riverside Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Pine Brook",
"state": "NJ",
"postal_code": "070589391",
"country_code": "US",
"telephone_number": "201-599-9044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Dept Of Pathology University Of Kentucky",
"address_2": "800 Rose St., MS 121 Wm R Willard Medical Ed Building",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-6183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATNANI",
"first_name": "RAHUL",
"middle_name": "GURBUX",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2018-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA10134400",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NJ",
"license": "25MA10134400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAHUL",
"last_name": "MATNANI",
"middle_name": "GURBAKSH",
"prefix": "DR.",
"credential": "MBBS, PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.