Active NPI
Joanna Matos, APRN
- Primary Care Nurse Practitioner
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00900100
- Practice address
- 765 Route 70 E Ste D-125
Marlton, NJ 08053-2341 - Phone
- (856) 453-4894
- Fax
- (856) 451-7248
- NPI assigned
- Feb 26, 2019
- Last updated
- Sep 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00900100 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00900100 | NJ | Primary |
Addresses
Primary practice location
765 Route 70 E Ste D-125
Marlton, NJ 08053-2341
Mailing address
4 Mary Ellen LN
Erial, NJ 08081-9744
Phone (610) 203-2033
Other practice location 1
225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Phone (833) 728-1368
Other practice location 2
4 Mary Ellen Ln
Sicklerville, NJ 08081-9744
Phone (610) 203-2033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Gateway Ctr
Suite 2600
Newark, NJ 07102-5323
Phone (833) 728-1368
132 E Delaware Ave
Suite 100
Newark, DE 19711-4643
Phone (833) 728-1368
225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Phone (833) 728-1368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner Professional Resources | Current | Accepting new patients | |
| Patient Sortal Health PLLC | Current | Accepting new patients | |
| Patient Care Medical Group PC | Current | Accepting new patients |
Locations
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534
225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368
225 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (833) 728-1368
3201 Dallas Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 955-4041
Interoperability endpoints
- https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Adult Health Nurse Practitioner
- Blackwood, NJ
- NPI 1558516260
-
- Geriatric Medicine (Internal Medicine) Physician
- Woodbury, NJ
- NPI 1891362364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1679030639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MARY ELLEN LN",
"city": "ERIAL",
"state": "NJ",
"postal_code": "080819744",
"telephone_number": "610-203-2033",
"fax_number": "520-363-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 ROUTE 70 E STE D-125",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532341",
"telephone_number": "856-453-4894",
"fax_number": "856-451-7248"
}
],
"practiceLocations": [
{
"address_1": "225 Wilmington W Chester Pike",
"address_purpose": "LOCATION",
"city": "Chadds Ford",
"state": "PA",
"postal_code": "193179011",
"country_code": "US",
"telephone_number": "833-728-1368",
"fax_number": "610-424-7537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Mary Ellen Ln",
"address_purpose": "LOCATION",
"city": "Sicklerville",
"state": "NJ",
"postal_code": "080819744",
"country_code": "US",
"telephone_number": "610-203-2033",
"fax_number": "520-363-6065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATOS",
"first_name": "JOANNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00900100",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00900100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.