Active NPI
William Henry Matthai Jr., MD
- Cardiovascular Disease Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD034664E
- Practice address
- 51 North 39TH Street
4 Phi
Philadelphia, PA 19104 - Phone
- (215) 662-9189
- Fax
- (215) 243-4612
- NPI assigned
- Jun 27, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA05637200 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | MD034664E | PA | |
| Nuclear Cardiology Physician | 207UN0901X | MD034664E | PA | |
| Cardiovascular Disease Physician | 207RC0000X | MD034664E | PA | Primary |
Addresses
Primary practice location
51 North 39TH Street
4 Phi
Philadelphia, PA 19104
Mailing address
51 North 39TH Street
4 Phi
Philadelphia,, PA 19104
Phone (215) 662-9189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011712360001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey PC | Cardiovascular Disease | Current | Accepting new patients |
| Mainland Heart Consultants | Cardiovascular Disease | Past | Accepting new patients |
| University of Penn - Medical Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800
409 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 427-4336
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
2051 Briggs Rd
Mount Laurel, NJ 08054
Phone (856) 234-3332
1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100
51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
Organizations & group practices 5
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.
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Cardiovascular Disease
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1699702597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 NORTH 39TH STREET",
"address_2": "4 PHI",
"city": "PHILADELPHIA,",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-9189",
"fax_number": "215-243-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 NORTH 39TH STREET",
"address_2": "4 PHI",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-9189",
"fax_number": "215-243-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHAI",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05637200",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD034664E",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "MD034664E",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD034664E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011712360001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.