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DR. SAM MATHEWS M.D.
NPI 1790054526
Emergency Medicine in Newark, NJ

Active since December 22, 2011PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(201) 658-6297 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sam Mathews M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM MATHEWS M.D. (NPI 1790054526) is an individual emergency medicine provider in Newark, New Jersey, licensed in New Jersey (25MA09709400) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of New York University School Of Medicine (2011).

NPPES Registry Identity

NPI1790054526
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAM MATHEWSCredential: M.D.
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address143 Bertha CtParamus, NJ 07652-4092 · (201) 658-6297
Phone(201) 658-6297
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2011
Enumeration DateDecember 22, 2011
Last NPPES UpdateApril 14, 2016
✔ NPI 1790054526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MA09709400
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 CENTRAL AVE, Newark, NJ 07102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sam Mathews M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648589614
PECOS Enrollment IDI20151014003111, I20170720002243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Sam Mathews reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nes Georgia Inc
Same address
Emergency Medicine
111 CENTRAL AVE
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 67 clinicians in this Medicare group
NPI 1912411331 (973) 877-5000
Emergency Associates Of Montclair LLC
5.0 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 76 clinicians in this Medicare group
NPI 1598112146 (973) 429-6000
Emergency Physician Associates Of North Jersey P C
9.7 mi
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
NPI 1497783419 (908) 522-2000
East Post Road Medical Services PC
29 mi
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
NPI 1841767274 (914) 681-1210
Physicians Medical Associates New York PC
68 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1487409702 (845) 483-5000
Small Hospital Innovations LLC
1,039 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
269 services258 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
166 services151 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
103 services101 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
92 services91 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAKAN BASSAM AMMARI MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

Frequently 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 Sam Mathews's NPI number?

The NPI number for Sam Mathews is 1790054526. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Sam Mathews located?

Sam Mathews practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (201) 658-6297.

What is Sam Mathews's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sam Mathews enrolled in Medicare?

Yes. Sam Mathews is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sam Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Mathews reassigns Medicare benefits to 6 organizations: Nes Georgia Inc (Newark, NJ), Emergency Associates Of Montclair LLC (Montclair, NJ), Emergency Physician Associates Of North Jersey P C (Summit, NJ), East Post Road Medical Services PC (White Plains, NY), Physicians Medical Associates New York PC (Poughkeepsie, NY) and 1 more organization, listed in the Medicare section above. Each 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 Sam Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sam Mathews affiliated with any hospitals?

According to CMS data, Sam Mathews is affiliated with Saint Michael's Medical Center, Good Samaritan Hospital Of Suffern and Montefiore New Rochelle Hospital.

When was this NPI record last updated?

The NPPES record for Sam Mathews was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.