Active NPI
Susan Mathew, FNP
- Nurse Practitioner
- Elmont, NY
National Provider Identifier
1023220308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F3334651
- Practice address
- 2015 Linden Boulevard
Elmont, NY 11003 - Phone
- (516) 285-2850
- Fax
- (516) 285-0038
- NPI assigned
- May 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F3334651 | NY | Primary |
Addresses
Primary practice location
2015 Linden Boulevard
Elmont, NY 11003
Mailing address
80-08 170TH St
Jamaica, NY 11432
Phone (718) 380-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3334651 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023220308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80-08 170TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-380-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 LINDEN BOULEVARD",
"city": "ELMONT",
"state": "NY",
"postal_code": "11003",
"telephone_number": "516-285-2850",
"fax_number": "516-285-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F3334651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.