Susan Matos-Cloke, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05474400 Issued in NJ

Practice address

230 E. Ridgewood Avenue
Paramus, NJ 07652

Phone

(201) 967-4000

Fax

(201) 967-4117

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bergen County Improvement Authority

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1891836441
  Medicare reassignment NPD
• Act on Total Health Medical Group, LLC

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1952992455

  Internal Medicine

  NPD
• Bergen County Improvement Authority

  • Psychiatric Hospital Unit
  • Paramus, NJ
  • NPI 1952456295
  NPD
• Garden State Geriatrics PLLC

  • Specialist
  • Haworth, NJ
  • NPI 1700804358
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1730107939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN STREET",
            "address_2": "BUILDING 12 ROOM 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000",
            "telephone_number": "973-972-0037",
            "fax_number": "973-972-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E. RIDGEWOOD AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-967-4000",
            "fax_number": "201-967-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Boyden Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070403070",
            "country_code": "US",
            "telephone_number": "973-761-5200 x1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS-CLOKE",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05474400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665274",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER N",
            "identifier": "527245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Medicine Associates, PC
• Jilcy Mathew, MBBS
• Liby Mathew, MD
• Noelle Mathew, LCSW, LCADC
• Jyoti Mathews, M.D.
• Matrix Surgical LLC
• Alyssa Marie Mattera
• Kamryn Mattesich
• Matthew I Milestone DMD Pa2
• Adam Z Matysiak, RPA-C

• Internal Medicine Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.

Verify at the official NPI Registry.