Provider Demographics
NPI:1588948244
Name:KASPAR, MATTHEW (APN)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:KASPAR
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SHEPPARD RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4695
Mailing Address - Country:US
Mailing Address - Phone:856-288-3400
Mailing Address - Fax:856-626-5251
Practice Address - Street 1:231 HIGH ST FL 1
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1450
Practice Address - Country:US
Practice Address - Phone:609-534-5998
Practice Address - Fax:609-488-6023
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00347700363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
228755OtherPTAN