Individual provider Active NPI

Rahul Gurbux Matnani

  • Hematology (Pathology) Physician
  • Rutherford, NJ
National Provider Identifier
1649565987
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
25MA10134400 Issued in NJ
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

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew patients
Cancer Genetics Inc Past Accepting new patients
Siparadigm LLC PastSince Jul 24, 2022 Accepting new patients
Englewood Pathologists, PA Hematology PastSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.