Active NPIIndividual provider

Mr. Matthew D Poli, PA-C

Physician Assistant in Moorestown, New Jersey

NPI Number1013540566
Practice location
300 W Route 38 Ste A, Moorestown, NJ 08057-3424
Fax
609-234-3921
Last updated
June 4, 2025

Matthew David Poli is a Physician Assistant based in Moorestown, NJ. Matthew David Poli practices in Moorestown, NJ and has the professional credentials of PA-C. The NPI Number for Matthew David Poli is 1013540566 and holds a License No. 5124-23 (WI). The current practice location address for Matthew David Poli is 300 W Route 38 Ste A, Moorestown, NJ 08057-3424 and can be reached out via phone at 609-267-9400 and via fax at 609-234-3921.

Provider Profile Details

NPI Number
1013540566
Provider Name
Matthew David Poli
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
300 W Route 38 Ste A, Moorestown, NJ 08057-3424
Phone Number
609-267-9400
Fax Number
609-234-3921
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2020
Last Update Date
June 4, 2025
Certification Date
June 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 W Route 38 Ste A
Moorestown, NJ 08057-3424
Zip
08057-3424
Phone Number
609-267-9400
Fax Number
609-234-3921
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
609-267-9400
Fax Number
856-234-3921

License Information

License Number (1)
5124-23
License State (1)
WI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00918200
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew D Poli, PA-C?

The NPI number of Mr. Matthew D Poli, PA-C is 1013540566. It was assigned on February 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew D Poli, PA-C?

Mr. Matthew D Poli, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in WI under license number 5124-23.

Where does Mr. Matthew D Poli, PA-C practice?

The practice location is 300 W Route 38 Ste A, Moorestown, NJ 08057-3424. The office can be reached at 609-267-9400 (phone) or 609-234-3921 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013540566 directly on the NPPES registry website.

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