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Contact Information

JAMES J MATERA, DO
8 OLD BRIDGE TPKE
SOUTH RIVER, NJ08882-2400
 Phone: 732-390-4888
 Fax: 732-390-0255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAMES J MATERA · (Male)

NPI # 1336139732
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/26/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 55453
  • NJ Medicaid 6437800
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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