Matthew Ross Fred, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08733500 Issued in NJ

Practice address

175 Madison Avenue
Virtua Memorial Hospital
Mt. Holly, NJ 08060

Phone

(609) 267-0700

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1831235860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MADISON AVENUE",
            "address_2": "VIRTUA MEMORIAL HOSPITAL",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-267-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVENUE",
            "address_2": "VIRTUA MEMORIAL HOSPITAL",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-267-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRED",
        "first_name": "MATTHEW",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08733500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Fleming Jr.
• Tanya Font, FNP
• Foster Family Advocates, Inc.
• Lawrence John Fox, DMD
• Tiffany Francis, LCSW
• Fusfield Podiatry Associates LLC
• Michael J. Fusfield, D.P.M.
• Avinash Gabbeta
• Julia Gabriel
• Anselma Gabudao, APN-BC

• Internal Medicine Physician in Mt. Holly, NJ
• Providers in Mt. Holly, 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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.