Individual provider Active NPI

Matthew Allen Holt, FNP

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1952061616
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ01249800 Issued in NJ
Practice address
210 Jack Martin Blvd # D1
Brick, NJ 08724-3063
Phone
(609) 312-1752
NPI assigned
Dec 22, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01249800 NJ
Family Medicine Physician 207Q00000X 26NJ01249800 NJ Primary

Addresses

Primary practice location

210 Jack Martin Blvd # D1
Brick, NJ 08724-3063

Mailing address

210 Jack Martin Blvd # D1
Brick, NJ 08724-3063
Phone (732) 458-5854

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01249800OtherNJNJ BOARD OF NURSING

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224002521 NJ Practitioner - Nurse Practitioner 4587058102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

1301 Route 72 W
Suite 206
Manahawkin, NJ 08050-2483
Phone (609) 978-9940

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424
Phone (856) 566-5478

210 Jack Martin Blvd
Suite D1
Brick, NJ 08724-7771
Phone (732) 458-5854

508 Lakehurst Rd
Suite 3a
Toms River, NJ 08755-8000
Phone (732) 341-4600

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01249800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

1301 Route 72 W
Ste 206
Manahawkin, NJ 08050
Phone (609) 978-9940

444 Neptune Blvd
Unit 5
Neptune, NJ 07753
Phone (732) 458-5854

508 Lakehurst Rd
Ste 3A
Toms River, NJ 08755
Phone (732) 341-4600

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: mholt36118@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1952061616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JACK MARTIN BLVD # D1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243063",
            "telephone_number": "732-458-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JACK MARTIN BLVD # D1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243063",
            "telephone_number": "609-312-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01249800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ01249800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF NURSING",
            "identifier": "26NJ01249800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.