Individual provider Active NPI

William Henry Matthai Jr., MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1699702597
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD034664E Issued in PA
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

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011712360001MedicaidPA

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
I20040607000136 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8820070436 Reassigns benefits to 1 organization
I20050202000820 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820070436 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 31, 1991 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Mar 13, 1998 Accepting new patients
Clinical Health Care Associates of New Jersey PC Cardiovascular Disease CurrentSince Oct 31, 1991 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.

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

Verify at the official NPI Registry.