Deepali Mattoo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08434300 Issued in NJ

Practice address

81 Northfield Ave
West Orange, NJ 07052-5342

Phone

(973) 324-5437

NPI assigned

Aug 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Mattoo Pediatrics

  • Primary Care Clinic/Center
  • Plainfield, NJ
  • NPI 1154083046
  NPD (past) Authorized official
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  NPD (past)
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1962668145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOXWOOD CIR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201510",
            "telephone_number": "347-610-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "973-324-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOO",
        "first_name": "DEEPALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08434300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neetha Mathew, DO
• Seema Alexander Mathew, MD
• Tripthi M Mathew, MPH, MBA, PHD
• Matthew I Milestone DMD Pa2
• Andrew Matthews, M.D.
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.
• Jennifer Maximos, MSOTR/L
• Maximum Health & Wellness West Orange LLC
• Maria Claudia Maya, LMFT

• Pediatrics Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.