Individual provider Active NPI

Matthew Alan Clott, MD

  • Plastic Surgery Physician
  • Warren, NJ
National Provider Identifier
1801849096
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA07555400 Issued in NJ
Practice address
31 Mountain Blvd
BLDG T
Warren, NJ 07059-5644
Phone
(908) 222-0070
Fax
(908) 222-8027
NPI assigned
May 18, 2006
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA07555400 NJ Primary

Addresses

Primary practice location

31 Mountain Blvd
BLDG T
Warren, NJ 07059-5644

Mailing address

31 Mountain Blvd
BLDG T
Warren, NJ 07059-5644
Phone (908) 222-0070

Other identifiers 5

IdentifierTypeStateIssuer
P3106486OtherNJOXFORD
P00166342OtherNJUNITED HEALTHCARE RR
8219869OtherNJGHI
J33130OtherNJHEALTHNET
MC01512F10OtherNJEMPIRE BC/BS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000049 NJ Practitioner - Plastic and Reconstructive Surgery 7113996539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Health PartnersGroup PAC ID 9335494509, 28 clinicians

Practice addresses (Care Compare)

333 Route 46 W
Suite 106
Mountain Lakes, NJ 07046-1743
Phone (973) 829-7965

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
62.32
Promoting interoperability
100
Improvement activities
40
Cost
65.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07555400NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Partners Single Specialty CurrentSince May 1, 2023 Accepting new patients
Atlantic Health Partners Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

Organizations & group practices 3

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1801849096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD",
            "address_2": "BLDG T",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595644",
            "telephone_number": "908-222-0070",
            "fax_number": "908-222-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD",
            "address_2": "BLDG T",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595644",
            "telephone_number": "908-222-0070",
            "fax_number": "908-222-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTT",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07555400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3106486",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RR",
            "identifier": "P00166342",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8219869",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J33130",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "MC01512F10",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.