NPIMap

Individual provider Active NPI

Matthew Porter Grimaldi, M.D.

  • Anesthesiology Physician
  • Bethlehem, PA
National Provider Identifier
1851590863
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD459660 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(610) 954-5810
Fax
(610) 954-5480
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09511300 NJ
Anesthesiology Physician 207L00000X MD459660 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

PO Box 5520
Bethlehem, PA 18015-0520
Phone (610) 954-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140903000776 NJ Practitioner - Anesthesiology 4880877943 Reassigns benefits to 2 organizations
I20170913000908 PA Practitioner - Anesthesiology 4880877943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Bethlehem PCGroup PAC ID 1355254533, 283 clinicians
Anesthesia Specialists of Warren, LLCGroup PAC ID 5294006250, 33 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (610) 954-5810

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-6700

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537

250 S 21St St
Easton, PA 18042-3851
Phone (610) 250-4000

360 W Riddle St
Coaldale, PA 18218-1027
Phone (610) 954-5810

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (866) 785-8537

501 Cetronia Rd
Allentown, PA 18104-9569
Phone 7067379250109

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (610) 954-5810

801 Ostrum St
Bethlehem, PA 18015-1065
Phone (610) 954-5810

Hospital & facility affiliations

  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09511300NJMDAnesthesiology Physician
MD459660PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jan 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Mar 20, 2022 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Specialists of Warren, LLC Anesthesiology CurrentSince Mar 11, 2023 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Jul 5, 2014 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1851590863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5520",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150520",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "MATTHEW",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09511300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD459660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.