Jacob S Mathew (NPI# 1952558736, PAC ID# 2264680354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1952558736 |
| PAC ID by PECOS | 2264680354 |
| Professional Enrollment ID | I20120914000246 |
| Full Name | Jacob S Mathew |
| Organization Legal Name | NORTHEAST MEDICAL PRACTICE INC |
| Address |
60 Granite St Lynn MA 01904-2915 |
| Phone Number | 9788162728 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2365405024 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| 220033 | NORTHEST HOSPITAL CORPORATION |
| Address | Phone | Organization |
|---|---|---|
| 49 Robinwood Ave, Boston, MA 02130-2156 | 6175224400 | ARBOUR INC |
| 227 Babcock St, Brookline, MA 02446-6773 | 6177313200 | HRI HOSPITAL, INC |
| 298 Washington St, Gloucester, MA 01930-4832 | NORTHEAST MEDICAL PRACTICE INC | |
| 60 Granite St, Lynn, MA 01904-2915 | 9788162728 | NORTHEAST MEDICAL PRACTICE INC |
| Organization Legal Name | NORTHEAST MEDICAL PRACTICE INC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humera Kausar | Infectious Disease | Northeast Medical Practice Inc | 85 Herrick St, Beverly, MA 01915-1790 |
| Margaret Legner | Internal Medicine | Northeast Medical Practice Inc | 5 Federal St, Suite 1, Danvers, MA 01923-3687 |
| Amanda E Davis | Certified Nurse Midwife (cnm) | Northeast Medical Practice Inc | 280 Union St, Lynn, MA 01901-1353 |
| Helene Hutchinson | Nurse Practitioner | Northeast Medical Practice Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Brenda Burke Elder | Clinical Social Worker | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Yuliya Mandel | Family Medicine | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Vittorio J Raho | Emergency Medicine | Northeast Medical Practice Inc | Esdale Medical Group, 298 Washington Street, Gloucester, MA 01930-4832 |
| Julie E Connick | Nurse Practitioner | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Edward Loughery | Interventional Cardiology | Northeast Medical Practice Inc | 298 Washington St, Fl 4, Gloucester, MA 01930-4832 |
| Pierre D Abou Ezzi | Internal Medicine | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Street Address |
60 GRANITE ST |
| City | LYNN |
| State | MA |
| Zip | 01904-2915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Burke Elder | Clinical Social Worker | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Prabakar Thyagarajan | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Ozan Toy | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Sara Sciascia | Nurse Practitioner | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Tanishia D Choice | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Robert S Henriques | Nurse Practitioner | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Elizabeth A Soccorso | Certified Clinical Nurse Specialist (cns) | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Satish Vallabhaneni | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Zorayda T Vidal Farino | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Steven A Gillespie | Psychiatry | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter R Sheckman | Internal Medicine | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Amy Splawska | Nurse Practitioner | Charter Health PC | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 |
| Norma I Lopez | Addiction Medicine | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Julie Rainville | Nurse Practitioner | Charter Health PC | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 |
| Diane D Furey | Nurse Practitioner | Charter Health PC | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 |
| Oliver G Gregory | Internal Medicine | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Neelima Singh | Endocrinology | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Laura Beeghly | Internal Medicine | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Craig Andrew Grimes | Internal Medicine | North Shore Physicians Group Inc | 496 Lynnfield St, Lynn, MA 01904-1423 |
| Jatinder Aujla | Hospitalist | Charter Health PC | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 |
| Find all physicians in zip 01904 | |||
| City | LYNN |
| Zip Code | 01904 |
| Specialty | PSYCHIATRY |
| City + Specialty | LYNN + PSYCHIATRY |
Please comment or provide details below to improve the information on Jacob S Mathew.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.