Provider Demographics
NPI:1134259831
Name:SCHIFF, MATTHEW MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MORRIS AVENUE
Mailing Address - Street 2:SUITE E
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740
Mailing Address - Country:US
Mailing Address - Phone:732-870-6260
Mailing Address - Fax:732-870-0105
Practice Address - Street 1:170 MORRIS AVENUE
Practice Address - Street 2:SUITE E
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740
Practice Address - Country:US
Practice Address - Phone:732-870-6260
Practice Address - Fax:732-870-0105
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA292832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0242403Medicaid
NJ284190801Medicaid
NJSC459464Medicare ID - Type Unspecified
NJ0242403Medicaid