Individual provider Active NPI

Mayank Mathur, M.D.

  • Neurology Physician
  • Lumberton, NJ
National Provider Identifier
1750591087
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08773300 Issued in NJ
Practice address
693 Main St Ste D
Lumberton, NJ 08048-5043
Phone
(609) 261-7600
Fax
(609) 265-8205
NPI assigned
May 23, 2007
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA08773300 NJ Primary

Addresses

Primary practice location

693 Main St Ste D
Lumberton, NJ 08048-5043

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

200 Route 73 Ste 2B
Voorhees, NJ 08043-9611
Phone (856) 335-0400

Other identifiers 1

IdentifierTypeStateIssuer
0238571MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmathur18863@directvirtua.org
Direct Messaging Address mmathur18863@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, AL, MT, SD, OH, KY, LA, WI, TX, IA, IL, MN, AZ, OK, SC, KS17 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 17

Enrollment IDStateProvider typePAC IDDetails
I20100927000284 NJ Practitioner - Neurology 0244356327 Reassigns benefits to 2 organizations
I20210722001180 PA Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20230816004316 AL Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20241111002402 MT Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20241121002418 SD Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20241122001694 OH Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20241122003895 KY Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20241125004270 LA Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250107000699 WI Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250107001649 TX Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250128002351 IA Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250226001860 IL Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250310001096 MN Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250610003371 AZ Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250621000086 OK Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20250804001752 SC Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization
I20251114000498 KS Practitioner - Neurology 0244356327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Mountain BRK, AL 35223
Phone (972) 449-0540

Chancellor, SD 57015
Phone (972) 449-0540

Oklahoma City, OK 73106
Phone (972) 449-0540

Arlington, TX 76005
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540

1000 4TH St SW
Mason City, IA 50401-2800
Phone (972) 449-0540

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540

1026 A Ave NE
Unitypoint St Lukes Hospital
Cedar Rapids, IA 52402-5036
Phone (972) 449-0540

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (972) 449-0540

1120 Pine St
Stanley, WI 54768-1297
Phone (972) 449-0540

11801 S Fwy
Burleson, TX 76028-7021
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

135 S Gibson St
Medford, WI 54451-1622
Phone (972) 449-0540

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3400

175 Madison Ave
Mount Holly, NJ 08060-2038

1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (972) 449-0540

1800 W University Blvd
Durant, OK 74701-3006
Phone (972) 449-0540

1900 S D St
McAllen, TX 78503-1507
Phone (972) 449-0540

200 Route 73
Suite 2B
Voorhees, NJ 08043-9611
Phone (856) 355-0400

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (972) 449-0540

305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eternally Professional Corporation CurrentSince May 1, 2022 Accepting new patients
Virtua Medical Group, PA Family Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2018 Accepting new patients
Ap US 14, PA Neurology CurrentSince Sep 8, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2018 Accepting new patients
St. Vincent Hospital Family Medicine PastSince Jul 14, 2024 Accepting new patients
Access Telecare California, P.C. Family Medicine PastSince Sep 18, 2023 Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

693 Main St
Ste D
Lumberton, NJ 08048
Phone (267) 764-4704

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

200 Route 73
Ste 2B
Voorhees, NJ 08043
Phone (856) 335-0400

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: mmathur18863@directvirtua.org
  • Direct secure messaging: mmathur3926070@direct.trinity-health.org
  • Direct secure messaging: mmathur533670@direct.umm.edu
  • Direct secure messaging: mmathur889250@ahs.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1750591087",
    "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",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 MAIN ST STE D",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485043",
            "telephone_number": "609-261-7600",
            "fax_number": "609-265-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Route 73 Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439611",
            "country_code": "US",
            "telephone_number": "856-335-0400",
            "fax_number": "856-355-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "MAYANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08773300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238571",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmathur18863@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Route 73 Ste 2B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmathur18863@directvirtua.org",
            "affiliation": "N",
            "address_1": "693 Main St Ste D",
            "city": "Lumberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080485043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

Verify at the official NPI Registry.