Individual provider Active NPI

Anish Philip Mathew, PT, MPT (NEURO), DPT

  • Neurology Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1003835083
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
028328 Issued in NY
Practice address
1605 Hillside Ave
New Hyde Park, NY 11040-2603
Phone
(516) 616-0942
Fax
(516) 616-0943
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 028328 NY Primary

Addresses

Primary practice location

1605 Hillside Ave
New Hyde Park, NY 11040-2603

Mailing address

55 7TH St
New Hyde Park, NY 11040-4132
Phone (516) 385-5685

Other identifiers 4

IdentifierTypeStateIssuer
000000111562OtherNYGHI HMO
700400OtherNYACN GROUP
XC8401OtherNYHEALTHNET
11609369OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000356 NY Practitioner - Physical Therapist in Private Practice 9931256302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Physical Therapy & Rehabilitation P C CurrentSince Feb 1, 2014 Accepting new patients
In-Motion Physical Therapy, P.C. PastSince Feb 1, 2014 Accepting new patients

Locations

1605 Hillside Ave
New Hyde Park, NY 11040
Phone (516) 428-8803

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1003835083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 7TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404132",
            "telephone_number": "516-385-5685",
            "fax_number": "516-616-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402603",
            "telephone_number": "516-616-0942",
            "fax_number": "516-616-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANISH",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PT, MPT (NEURO), DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "028328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000111562",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "700400",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "XC8401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11609369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.