DOVER INTERNAL MEDICINE, LLC
NPI 1164695185
Internal Medicine in Toms River, NJ
About Dover Internal Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOVER INTERNAL MEDICINE, LLC (NPI 1164695185) is a healthcare organization registered as an internal medicine in Toms River, New Jersey and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Tittymol Mathew, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dover Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dover Internal Medicine, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D1018204
Dover Internal Medicine · Toms River, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dover Internal Medicine, LLC's NPI number?
The NPI number for Dover Internal Medicine, LLC is 1164695185. It was assigned to this organization in the NPPES registry on April 10, 2008.
Where is Dover Internal Medicine, LLC located?
Dover Internal Medicine, LLC is located at 530 Lakehurst Rd Suite 307, Toms River, NJ 08755. The listed phone number is (732) 341-8901.
What is Dover Internal Medicine, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dover Internal Medicine, LLC enrolled in Medicare?
Yes. Dover Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.
When is Dover Internal Medicine, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dover Internal Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dover Internal Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dover Internal Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1018204) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dover Internal Medicine, LLC was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dover Internal Medicine, Llc · NPI 1164695185
Internal Medicine organization in Toms River, New Jersey. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1164695185 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Tittymol Mathew, PHYSICIAN
## Practice location
- **Address:** 530 LAKEHURST RD, SUITE 307, Toms River, NJ 08755-8063
- **Phone:** (732) 341-8901 · **Fax:** (732) 341-8906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2008
- **Other identifiers:** Medicare UPIN H49067 (NJ); Medicare PIN 051348 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164695185) · Data from the CMS NPPES public registry.