Individual provider Active NPI

Matthew J. Brace, MD

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1952518862
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09797400 Issued in NJ
Practice address
1605 E Evesham Rd Ste 100a
Voorhees, NJ 08043-1437
Phone
(856) 741-7100
Fax
(856) 424-2629
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 MD432488 PA
Family Medicine Physician 207Q00000X 25MA09797400 NJ Primary

Addresses

Primary practice location

1605 E Evesham Rd Ste 100a
Voorhees, NJ 08043-1437

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 741-7100

Other practice location 1

777 Township Line Road
Ste. 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Other identifiers 1

IdentifierTypeStateIssuer
1021840530001MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbrace13189@directvirtua.org
Direct Messaging Address mbrace13189@directvirtua.org

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
I20160822001106 NJ Practitioner - Family Practice 5092880070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09797400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Family Medicine CurrentSince Jun 28, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 28, 2016 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

1605 E Evesham Rd
Ste 100A
Voorhees, NJ 08043
Phone (856) 741-7100

Interoperability endpoints

  • Direct secure messaging: mbrace13189@directvirtua.org

Organizations & group practices 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1952518862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-741-7100",
            "fax_number": "856-424-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E EVESHAM RD STE 100A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431437",
            "telephone_number": "856-741-7100",
            "fax_number": "856-424-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Township Line Road",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675564",
            "country_code": "US",
            "telephone_number": "215-860-0775",
            "fax_number": "570-742-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACE",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD432488",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09797400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021840530001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrace13189@directvirtua.org",
            "affiliation": "N",
            "address_1": "777 Township Line Road",
            "address_2": "Ste. 200",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190675564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrace13189@directvirtua.org",
            "affiliation": "N",
            "address_1": "1605 E Evesham Rd Ste 100A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.