Active NPI
Matthew Jay Speesler, M.D.
- Pediatric Adolescent Medicine Physician
- North Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA41374
- Practice address
- 1440 How LN Ste 2F
North Brunswick, NJ 08902-4600 - Phone
- (732) 764-0004
- Fax
- (732) 960-2301
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA41374 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | MA41374 | NJ |
Addresses
Primary practice location
1440 How LN Ste 2F
North Brunswick, NJ 08902-4600
Mailing address
PO Box 6086
Somerset, NJ 08875-6086
Phone (732) 764-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1379704 | Medicaid | NJ |
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
- Pediatric Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Cedar Grove LN
Suite 34
Somerset, NJ 08873-1331
Phone (732) 764-0004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41374 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Pediatric Center of Somerset Limited Liability Company | Adolescent Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Longevity Medical LLC | Past | Accepting new patients | |
| Saint Peter's University Hospital | Past | Accepting new patients | |
| Peak Wellness Center PC | Past | Accepting new patients | |
| Clara Maass Medical Center | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1440 How Ln
Ste 2F
North Brunswick, NJ 08902
Phone (732) 764-0004
7 Cedar Grove Ln
Ste 34
Somerset, NJ 08873
Phone (732) 271-0800
Interoperability endpoints
- mspeesler74092@epicdirect.rwjbh.org
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Pediatrics Physician
- North Brunswick, NJ
- NPI 1760666036
Adolescent Medicine
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- Specialist
- South Amboy, NJ
- NPI 1972779486
-
- Family Nurse Practitioner
- Somerset, NJ
- NPI 1982498515
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668816000000",
"number": "1861428880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6086",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088756086",
"telephone_number": "732-764-0004",
"fax_number": "732-960-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 HOW LN STE 2F",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089024600",
"telephone_number": "732-764-0004",
"fax_number": "732-960-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEESLER",
"first_name": "MATTHEW",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2022-11-19",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA41374",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA41374",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1379704",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
- Shreya Sood, DDS
- South Bunswick Board of Education
- Sovereign Care Services
- Specialty Surgical Center of North Brunswick, LLC
- Speech Language and Swallowing Center
- Squire Dental Management LLC
- Bhagya Lakshmi Thankan Sreerenjini
- Stavroula Moshos, P.C.
- Helene L. Steinhauer, LCSW
- Edward A Steinman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.