Individual provider Active NPI

Mark D. Mathason, DO

  • Emergency Medicine Physician
  • Hazleton, PA
National Provider Identifier
1669490561
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08065000 Issued in NJ
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 501-4193
NPI assigned
Jul 18, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS017050 PA
Emergency Medicine Physician 207P00000X 25MB08065000 NJ Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

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

Other practice location 1

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 355-6760

Other identifiers 1

IdentifierTypeStateIssuer
0108448MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmathason514097@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20061201000089 NJ Practitioner - Emergency Medicine 0941208870 Reassigns benefits to 4 organizations
I20140823000225 PA Practitioner - Emergency Medicine 0941208870 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

1200 S Cedar Crest Blvd
LVPG Emergency Medicine
Allentown, PA 18103-6202
Phone (610) 402-8111

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 476-3353

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 765-5341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08065000NJMDEmergency Medicine Physician
OS017050PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Elk Regional Health Center Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jul 1, 2006 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 22, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Mar 1, 2017 Accepting new patients
Einstein Practice Plan, Inc CurrentSince Sep 1, 2016 Accepting new patients
Fayette Physician Network Inc CurrentSince Oct 1, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 1, 2016 Accepting new patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Fayette Physician Network Inc CurrentSince Oct 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Emergency Medicine Current Accepting new patients
J C Blair Memorial Hospital CurrentSince Dec 22, 2020 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Elk Regional Health Center CurrentSince Apr 1, 2017 Accepting new patients
J C Blair Memorial Hospital CurrentSince Dec 22, 2020 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 22, 2022 Accepting new patients
Fayette Physician Network Inc Current Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations (25 of 26)

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

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

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

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

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

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: mmathason514097@upmc.direct-ci.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1669490561",
    "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": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-355-6760",
            "fax_number": "856-355-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHASON",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-08-12",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS017050",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08065000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108448",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmathason514097@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.