Individual provider Active NPI

Matthew Joseph Sansevere, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Flemington, NJ
National Provider Identifier
1689297673
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02968400 Issued in NJ
Practice address
6 Sand Hill Rd Ste 301
Flemington, NJ 08822-4946
Phone
(908) 806-7060
NPI assigned
May 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS042734 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02968400 NJ Primary

Addresses

Primary practice location

6 Sand Hill Rd Ste 301
Flemington, NJ 08822-4946

Mailing address

6 Sand Hill Rd Ste 301
Flemington, NJ 08822-4946
Phone (908) 806-7060

Other practice location 1

909 Walnut St Rm 300
Philadelphia, PA 19107-5211
Phone (215) 503-6215

Other practice location 2

707 State Rd Ste 222
Princeton, NJ 08540-1449
Phone (609) 285-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250326000774 PA Practitioner - Oral Surgery 2264854389 Reassigns benefits to 1 organization
I20250421000204 NJ Practitioner - Oral Surgery 2264854389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Georgia Regents University College of Dental Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
West Jersey Oral and Maxillofacial Surgeons, P.C.Group PAC ID 3779758776, 3 clinicians

Practice addresses (Care Compare)

707 State Rd
Suite 222
Princeton, NJ 08540-1449
Phone (609) 285-5844

Hospital & facility affiliations

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Jersey Oral & Maxillofacial Surgeons, P.C. Oral and Maxillofacial Surgery CurrentSince Jan 12, 2025 Accepting new patients
Jefferson University Physicians CurrentSince Feb 10, 2025 Accepting new patients

Locations

6 Sand Hill Rd
Ste 301
Flemington, NJ 08822
Phone (908) 806-7060

707 State Rd
Ste 222
Princeton, NJ 08540
Phone (609) 285-5810

909 Walnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 503-7008

909 Walnut St
Rm 300
Philadelphia, PA 19107
Phone (215) 503-6215

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1689297673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 301",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-806-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 301",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-806-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Walnut St Rm 300",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075211",
            "country_code": "US",
            "telephone_number": "215-503-6215",
            "fax_number": "215-923-9189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 State Rd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401449",
            "country_code": "US",
            "telephone_number": "609-285-5810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSEVERE",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS042734",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02968400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.