Active NPI
Midhun Mathew, MD
- Hospitalist Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA11114700
- Practice address
- 90 Brick Rd FL 3
Marlton, NJ 08053-2177 - Phone
- (856) 355-6000
- NPI assigned
- Jul 24, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA11114700 | NJ | |
| Internal Medicine Physician | 207R00000X | MD478212 | PA | |
| Hospitalist Physician | 208M00000X | 25MA11114700 | NJ | Primary |
Addresses
Primary practice location
90 Brick Rd FL 3
Marlton, NJ 08053-2177
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
800 Spruce Street
Pine 1 West
Philadelphia, PA 19107-6130
Phone (215) 829-7817
Other practice location 2
100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Phone (856) 247-3000
Other practice location 3
218 Sunset Rd Fl 5
Willingboro, NJ 08046-1110
Phone (609) 444-0599
Other practice location 4
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 914-6180
Other practice location 5
1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Phone (856) 757-3500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Brick Rd
FL 3
Marlton, NJ 08053-2177
Phone (856) 355-6000
Hospital & facility affiliations
- West Jersey Hospital
- Virtua Our Lady of Lourdes Hospital
- Cape Regional Medical Center Inc
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD478212 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Trinitas Physicians Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Internal Medicine | Current | Accepting new patients |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160
225 Williamson St
Fl 4
Elizabeth, NJ 07202
Phone (551) 208-5187
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000
200 Bowman Dr
Voorhees, NJ 08043
Phone (267) 425-5400
218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359
800 Spruce St
Fl 1
Philadelphia, PA 19107
Phone (215) 829-5873
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Interoperability endpoints
- mmathew247583@directvirtua.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1205189941
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Voorhees, NJ
- NPI 1912457755
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1740767672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BRICK RD FL 3",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532177",
"telephone_number": "856-355-6000"
}
],
"practiceLocations": [
{
"address_1": "800 Spruce Street",
"address_2": "Pine 1 West",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191076130",
"country_code": "US",
"telephone_number": "215-829-7817",
"fax_number": "215-829-7129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Bowman Dr Lowr Level1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-247-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 Sunset Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461110",
"country_code": "US",
"telephone_number": "609-444-0599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Madison Ave",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080602038",
"country_code": "US",
"telephone_number": "609-914-6180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Haddon Ave Fl 6",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081033101",
"country_code": "US",
"telephone_number": "856-757-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "MIDHUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11114700",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD478212",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA11114700",
"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 Jan 25, 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.