DR. JIJU MATHEW


Address: 100 Port Washington Blvd, Roslyn, NY 11576-1347
Phone: 5165652638

DR. JIJU MATHEW (NPI# 1831458108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831458108
Entity Type Individual
Full Name DR. JIJU MATHEW
Credential MD
Practice Address 100 Port Washington Blvd
Roslyn
NY 11576-1347
Mailing Address 2150 Pennsylvania Avenue, Nw
The Gw Medical Faculty Associates
Washington
DC 20037-3201
Practice Telephone 5165652638
Mailing Telephone 2027413000
Enumeration Date 2012-05-08
Last Update Date 2020-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 289333 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2150 Pennsylvania Avenue, Nw, The Gw Medical Faculty Associates, Washington, DC 200373201 2027413000

Office Location

Street Address 100 PORT WASHINGTON BLVD
City ROSLYN
State NY
Zip Code 11576-1347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598768624 Jack Soterakis Internal Medicine 100 Port Washington Blvd, Roslyn, NY 11576-1353 2005-05-23
1700499779 Olivia Paige Omage Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-08-28
1871101006 Mark Granados Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-07-14
1871110692 Nicole Amanda Waxner Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-06-27
1710509062 Allison L Chan Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-05-09
1730715269 Sreeja Nair Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-03-16
1871127027 Laura Grace Krukowski Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576 2020-02-26
1518591015 Punam Patel Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-02-24
1306486196 Brendan Heitz Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-01-09
1740829613 Johanna Eve Schwartz Social Worker 100 Port Washington Blvd, Roslyn, NY 11576-1347 2019-12-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265075998 Haley W Feit Optometrist 1085 Northern Blvd, Roslyn, NY 11576 2019-10-25
1346765187 Fern Wendi Schanback Counselor 24 Mackay Way, Roslyn, NY 11576 2017-08-12
1932577574 Soma Fit Physical Therapy Pllc Physical Therapist 55 Lumber Rd, Suite 105, Roslyn, NY 11576 2015-09-14
1679953699 Linda D.r. Miller Speech-Language Pathologist 7 Woodland Road, Roslyn, NY 11576 2015-06-04
1629463450 Angela Maria Taveras Social Worker 141 Old Northern Blvd, Rosalyn, NY 11576 2015-03-30
1043594922 Robin Hananel Speech-Language Pathologist 29 The Oaks, Roslyn, NY 11576 2011-10-10
1073838207 Lucille A Barker Occupational Therapist 1441old Northern Blvd, Roslyn, NY 11576 2010-03-31
1518100163 Robert Eugene Goldberger Surgery 4 The Birches, Roslyn, NY 11576 2009-04-13
1336388461 Sarah Lamattina Counselor 1441 Old Northern Boulevard, Roslyn, NY 11576 2009-02-12
1508001553 Leslie Jane Brownstein Speech-Language Pathologist 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 2008-12-04
Find all providers in zip 11576

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679963508 Umme Asma Zaman Internal Medicine 390 Elm Dr, Roslyn, NY 11576-3013 2015-01-30
1962832162 Karina Bibicheff Internal Medicine 1500 Old Northern Blvd, Roslyn, NY 11576-1160 2013-11-25
1912251984 Abington Memorial Hospital Internal Medicine 1339 Easton Rd, Roslyn, PA 19001-2401 2012-10-30
1982959995 Rhoda Morgan Internal Medicine 33 Tara Dr, Roslyn, NY 11576-2609 2012-07-16
1699930925 Mazlen Medical Arts, P.C. Internal Medicine 30 Middleneck Rd, Roslyn, NY 11576-1344 2008-07-25
1922265446 Nilsa Socorro Gutierrez Internal Medicine 1045 Glen Cove Ave, Roslyn, NY 11576-1206 2008-05-21
1861661043 Viren Gordhanbhai Amin Internal Medicine 34 Carriage Rd, Roslyn, NY 11576-3118 2008-02-21
1760699615 Manickavelu Kasinathan Internal Medicine 15 Palm Ct, Roslyn, NY 11576-2418 2007-05-17
1477765469 Pervaiz Iqbal Physician PC Internal Medicine 10 E Harbor Court, Roslyn, NY 11576 2007-05-04
1598982209 Sundararaja Chandrasekaran Internal Medicine 148 Dogwood Rd, Roslyn, NY 11576-3015 2007-04-20
Find all providers in ROSLYN

Competitor

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City ROSLYN
Zip Code 11576

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Dataset Information

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.

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