Individual provider Active NPI

Matthew J. Yucis, DO

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1912077710
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0004050 Issued in DE
Practice address
2600 Glasgow Avenue
Suite 100
Newark, DE 19702-4773
Phone
(302) 836-8350
Fax
(302) 836-8370
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06191300 NJ
Family Medicine Physician 207Q00000X C2-0004050 DE Primary

Addresses

Primary practice location

2600 Glasgow Avenue
Suite 100
Newark, DE 19702-4773

Mailing address

200 Hygeia Drive
CCHS Physician Contracting, Suite 2300
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041119000769 NJ Practitioner - Family PracticePractitioner - Internal Medicine 8820053754 Reassigns benefits to 1 organization
I20160127000450 DE Practitioner - Family Practice 8820053754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1175 Dehirsch Ave
Woodbine, NJ 08270-2401
Phone (609) 861-2164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0004050DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Aug 31, 2021 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Aug 31, 2021 Accepting new patients
Christiana Care Quality Partners CurrentSince Feb 15, 2020 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Medemerge P.a. Family Medicine Past Accepting new patients

Locations

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

2600 Glasgow Ave
Ste 100
Newark, DE 19702
Phone (302) 273-1317

100 S Main St
Ste 101
Smyrna, DE 19977
Phone (302) 623-7424

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

1175 Dehirsch Ave
Woodbine, NJ 08270
Phone (609) 861-2164

Organizations & group practices 5

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 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1912077710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DRIVE",
            "address_2": "CCHS PHYSICIAN CONTRACTING, SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVENUE",
            "address_2": "SUITE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-836-8350",
            "fax_number": "302-836-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCIS",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06191300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0004050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.