Active NPI
Anish Philip Mathew, PT, MPT (NEURO), DPT
- Neurology Physical Therapist
- New Hyde Park, NY
National Provider Identifier
1003835083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 028328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000111562 | Other | NY | GHI HMO |
| 700400 | Other | NY | ACN GROUP |
| XC8401 | Other | NY | HEALTHNET |
| 11609369 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Physical Therapy & Rehabilitation P C | Current | Accepting new patients | |
| In-Motion Physical Therapy, P.C. | Past | 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.
-
- Physical Therapist
- New Hyde Park, NY
- NPI 1477503779
-
- Specialist
- Brooklyn, NY
- NPI 1356510184
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.