Individual provider Active NPI

Matthew Jay Speesler, M.D.

  • Pediatric Adolescent Medicine Physician
  • North Brunswick, NJ
National Provider Identifier
1861428880
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MA41374 Issued in NJ
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

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1379704MedicaidNJ

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
I20031212000362 NJ Practitioner - Pediatric Medicine 2264338821 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
MA41374NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 14, 2024 Accepting new patients
Pediatric Center of Somerset Limited Liability Company Adolescent Medicine CurrentSince Jul 1, 2009 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 14, 2024 Accepting new patients
Longevity Medical LLC Past Accepting new patients
Saint Peter's University Hospital Past Accepting new patients
Peak Wellness Center PC PastSince Apr 1, 2025 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

  • Direct secure messaging: mspeesler74092@epicdirect.rwjbh.org
  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.