MR. JACOB MATHEW (NPI# 1033319843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033319843 |
| Entity Type | Individual |
| Full Name | MR. JACOB MATHEW |
| Credential | PA-C |
| Practice Address |
750 Brunswick Ave Capital Health Regional Medical Ctr- Neurosciences Dept Trenton NJ 08638-4143 |
| Mailing Address |
3131 Princeton Pike Bldg 5 Suite 208 Lawrenceville NJ 08648-2201 |
| Practice Telephone | 6093946000 |
| Mailing Telephone | 6098157829 |
| Mailing Fax Number | 6098157894 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA051581 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00158900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205973476 | Jacob Mathew | Anesthesiology | 255 East 90 Dr, Merrillville, IN 46410 | 2007-01-30 |
| 1407857634 | Jacob K Mathew | Psychiatry & Neurology | 100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 | 2005-08-10 |
| 1255982039 | Jacob Mathew | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-09-24 |
| 1780076760 | Jacob Mathew | Pediatrics | 3333 Burnet Ave, Cardiology Dept., Cchmc, Cincinnati, OH 45229-3026 | 2015-02-27 |
| 1992068894 | Jacob Mathew Jr. | Internal Medicine | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | 2012-06-17 |
| 1407160187 | Jacob J Mathew | Internal Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2010-08-04 |
| 1952558736 | Jacob S Unil Mathew | Psychiatry & Neurology | 750 Washinton Street, Boston, MA 02111 | 2008-08-22 |
| 1710141346 | Jacob Mathew | Internal Medicine | 2720 Clare Ave, Suite A, Bremerton, WA 98310-3374 | 2008-07-14 |
| 1710177506 | Jacob Muthalaly Mathew | Internal Medicine | 1970 Roanoke Blvd, Department of Cardiology, Salem, VA 24153-6404 | 2007-07-27 |
| 1588877062 | Jacob John Mathew | Psychologist | 6920 220th St Sw, Suite 106, Mountlake Terrace, WA 98043-2177 | 2007-05-08 |
| Street Address |
750 BRUNSWICK AVE CAPITAL HEALTH REGIONAL MEDICAL CTR- NEUROSCIENCES DEPT |
| City | TRENTON |
| State | NJ |
| Zip Code | 08638-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465656 | Kelly M. Laverdure | Family Medicine | 750 Brunswick Ave, Trenton, NJ 19178-8567 | 2005-05-23 |
| 1477153450 | Thomas Wieczenski | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-28 |
| 1487252979 | Ashley Yeh | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-15 |
| 1821604380 | Steven Chen | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-09-21 |
| 1669081063 | Reena R Concepcion | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-07-31 |
| 1851915649 | Matthew M Rydlewski Jr. | Emergency Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-06-08 |
| 1518588243 | Sally Johnson | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-05-05 |
| 1356961882 | Maksym Palii | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-24 |
| 1669092250 | Amy Theresa Pulikeyil | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-23 |
| 1720607260 | Mayilathal Vasudevan | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902081235 | Janice Marie Howze | Physician Assistant | 40 Fuld St Ste 403, Trenton, NJ 08638-5247 | 2008-01-06 |
| 1487201828 | Erin Elizabeth Sutphen | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-08-21 |
| 1548816150 | Pegah Eshraghi | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-08-11 |
| 1831654813 | Asha Sankarathil | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-02-05 |
| 1699280081 | Patrycja Winsko | Physician Assistant | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 | 2017-12-06 |
| 1336575661 | John Leo Kauffmann Jr. | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2013-09-18 |
| 1538594213 | Renee Julia Rizzo | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2013-09-12 |
| 1942543509 | Julie K Le | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2013-04-02 |
| 1124316773 | Sandeep J. Amin | Physician Assistant | 40 Fuld Street, Suite 303, Trenton, NJ 08638-5247 | 2011-07-18 |
| 1336449354 | Christina M. Burke | Physician Assistant | 40 Fuld St Ste 403, Trenton, NJ 08638-5247 | 2010-10-25 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.