DR. MATTHEW C. DIFAZIO (M.D.) – Diagnostic Radiology Physician, NPI 1649203191

DR. MATTHEW C. DIFAZIO (M.D.) is a healthcare provider. based in Kendall park, New Jersey. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA06727100 (NJ). The NPI Number for DR. MATTHEW C. DIFAZIO (M.D.) is 1649203191

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW C. DIFAZIO (M.D.)
NPI
1649203191
Phone
(732) 821-5563
Address
3674 ROUTE 27
Enumeration Date
8 July 2006
Last Update Date
16 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
73282155631242
Graduation Year
1992 (34 years ago)
PAC ID
9133114309
Group Practice PAC ID
8022003367
Professional Enrollment ID
I20050110000027
Address ID
NJ077269218EN176XX9XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,259 DIAGNOSTIC RADIOLOGY in NJ

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Provider Addresses for DR. MATTHEW C. DIFAZIO (M.D.)

  • 27, Sonora Drive, Boulder Hill, Oswego, Oswego Township, Kendall County, Illinois, 60538, United States

    PRINCETON RADIOLOGY ASSOCIATES, P.A., DEPARTMENT B

    KENDALL PARK, NJ 08824

    Phone: (732) 821-5563

    Fax: (732) 821-6675

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050110000027IDiagnostic RadiologyNJTBD
I20250314002108IDiagnostic RadiologyPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml10,02169$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml8,63188$0
77067Screening mammography534534$0
77063Screening 3d breast mammography532532$0
71045X-ray of chest, 1 view265229$0
View full utilization report →

Insurance plans in this area (ZIP 08824)

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Provider's Procedures

DR. MATTHEW C. DIFAZIO (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNJ71010X-ray of chest, 1 view, front185180
DIAGNOSTIC RADIOLOGYNJ71250CT scan chest5453
DIAGNOSTIC RADIOLOGYNJ73110X-ray of wrist, minimum of 3 views1313
DIAGNOSTIC RADIOLOGYNJ73630X-ray of foot, minimum of 3 views2622
DIAGNOSTIC RADIOLOGYNJ74177CT scan of abdomen and pelvis with contrast3939
DIAGNOSTIC RADIOLOGYNJ76830Ultrasound pelvis through vagina1515
DIAGNOSTIC RADIOLOGYNJ93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022003367View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Interventional Radiology, Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
-NJ
Interventional Radiology, Diagnostic RadiologyNH
Interventional Radiology, Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MATTHEW C. DIFAZIO (M.D.)'s NPI?
Yes. DR. MATTHEW C. DIFAZIO (M.D.) is listed with NPI 1649203191 in the public NPI dataset.
Is DR. MATTHEW C. DIFAZIO (M.D.) still practicing?
DR. MATTHEW C. DIFAZIO (M.D.) is currently listed as active in the public NPI registry.
What is DR. MATTHEW C. DIFAZIO (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. MATTHEW C. DIFAZIO (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MATTHEW C. DIFAZIO (M.D.) on a map?
Expect Kendall Park, New Jersey as a primary anchor for DR. MATTHEW C. DIFAZIO (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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