SAM MATHEW (NPI# 1972148641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972148641 |
| Entity Type | Individual |
| Full Name | SAM MATHEW |
| Practice Address |
8251 251st St Bellerose NY 11426-2527 |
| Practice Telephone | 3473993402 |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
766123 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619198082 | Sam Mathew | Physician Assistant | 5959 Harry Hines Blvd Ste 620, Dallas, TX 75235-6245 | 2007-05-01 |
| Street Address |
8251 251ST ST |
| City | BELLEROSE |
| State | NY |
| Zip Code | 11426-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940597 | Shanti Niketan Inc | Clinic/Center | 236-03 Braddock, Shantiniketan - A Senior Day Care Center, Bellerose, NY 11426 | 2019-09-05 |
| 1558919779 | Azalea Andrews | Licensed Practical Nurse | 86-19 232nd Street, Bellrose, NY 11426 | 2019-08-30 |
| 1477041887 | Danielle Festa | Behavioral Analyst | 245-48b 76th Ave, Bellerose, NY 11426 | 2018-05-01 |
| 1740706654 | Nusaiba Ally | Speech-Language Pathologist | 252-12 72nd Ave, Jamaica, NY 11426 | 2017-08-22 |
| 1417472978 | Bernard Mateo Lapuz | Registered Nurse | 88-12 238th St, Bellerose, NY 11426 | 2017-08-06 |
| 1871034181 | Audrey Mejia | Registered Nurse | 242-16 93rd Ave, Bellerose, NY 11426 | 2017-03-20 |
| 1841742962 | Renee Hamilton-beckford | Health Educator | 9208 242 Street, Floor 3, Bellerose, NY 11426 | 2016-10-25 |
| 1841749546 | Anne Spencer | Registered Nurse | 247-35b 77th Cres., Bellerose, NY 11426 | 2016-09-23 |
| 1801260617 | Braddock Pharmacy LLC | Hospice Care, Community Based | 236-01a Braddock Ave., Bellerose, NY 11426 | 2015-11-17 |
| 1033505540 | Bellerose Rx Inc | Pharmacy | 248-15 Union Turnpike, Bellerose, NY 11426 | 2015-04-10 |
| Find all providers in zip 11426 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709959 | Linda Jane Mulhallan | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2020-01-26 |
| 1477192698 | Reya Ronish | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2020-01-06 |
| 1720624737 | Amenaghaeon Ojigbede | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-25 |
| 1336783489 | Isemonne Bonhomme | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-01 |
| 1972147015 | Kojo Akumanyi Yankson | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-01 |
| 1417591553 | Saly Tomi Madathil | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-01 |
| 1821632951 | James Aaron Stewart Sr. | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-01 |
| 1659915783 | Betina Boliere | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-11-01 |
| 1649814807 | Joy N Okorie | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-10-31 |
| 1558905646 | Jemi Mathew | Registered Nurse | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2019-10-31 |
| Find all providers in BELLEROSE | ||||
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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.