DR. JACOB J MATHEW (NPI# 1407160187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407160187 |
| Entity Type | Individual |
| Full Name | DR. JACOB J MATHEW |
| Credential | M.D., PHARM.D. |
| Practice Address |
703 Main St Paterson NJ 07503-2621 |
| Mailing Address |
5 Earl Ct Montville NJ 07045-9599 |
| Practice Telephone | 9737542476 |
| Mailing Telephone | 9732654385 |
| Mailing Fax Number | 9732654385 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA09374000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA09374000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA09374000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3327809 | 05 |
| 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 |
| 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 |
| 1033319843 | Jacob Mathew | Physician Assistant | 750 Brunswick Ave, Capital Health Regional Medical Ctr- Neurosciences Dept, Trenton, NJ 08638-4143 | 2007-07-19 |
| 1588877062 | Jacob John Mathew | Psychologist | 6920 220th St Sw, Suite 106, Mountlake Terrace, WA 98043-2177 | 2007-05-08 |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306269493 | Konstantinos Leou | Internal Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2014-01-27 |
| 1144587502 | Haris Kalatoudis | Internal Medicine | 703 Main Street, Medicine Department, Paterson, NJ 07503-0750 | 2012-04-23 |
| 1902185135 | Moh'd Hazem Azzam | Internal Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2011-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
| 1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
| 1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
| 1558730705 | Academic Icu Doc, Pa | Internal Medicine | 5 Rushton Ct, West Windsor, NJ 08550-3320 | 2015-09-17 |
| 1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
| 1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
| 1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
| 1194086694 | Kristen Denise Scatliffe | Internal Medicine | 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACOB J MATHEW.
| 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.