Active NPI
Matthew Alan Clott, MD
- Plastic Surgery Physician
- Warren, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MA07555400
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3106486 | Other | NJ | OXFORD |
| P00166342 | Other | NJ | UNITED HEALTHCARE RR |
| 8219869 | Other | NJ | GHI |
| J33130 | Other | NJ | HEALTHNET |
| MC01512F10 | Other | NJ | EMPIRE 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
Enrollment records 1
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
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 100
- Quality
- 62.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07555400 | NJ | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Health Partners | Single Specialty | Current | Accepting new patients |
| Atlantic Health Partners | Single Specialty | Current | 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.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1144720459
Single Specialty
-
- Plastic Surgery Physician
- Warren, NJ
- NPI 1598700700
-
- Foot & Ankle Surgery Podiatrist
- Belvidere, NJ
- NPI 1235978487
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.