Cijo Manu Mathew

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11042175 Issued in FL

Practice address

5824 State Road 54
New Port Richey, FL 34652-6002

Phone

(727) 845-1933

NPI assigned

Sep 22, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFDGAA/Endpoint/BFDGAA
• FHIR API: https://fhir4.healow.com/fhir/r4/HJIECA

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.

• Medical Associates of West FL

  • Internal Medicine Physician
  • Bayonet Point, FL
  • NPI 1720067192
  NPD (past)

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1083586846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 CREEDMOOR LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544620",
            "telephone_number": "727-845-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526002",
            "telephone_number": "727-845-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "CIJO",
        "middle_name": "MANU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11042175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mashlonik X, OTA
• Melodie Mason, LMT
• Jacqueline Lee Massey, RRT
• Elizabeth Masson
• Laura Elizabeth Masters-Samreth, CRNA
• Jennifer April Mathieson, LCSW
• Chancia J Matos
• Joesnelly Mattei
• Manisha Briel Mattei
• Maxim Healthcare Services, Inc.

• Primary Care Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.

Verify at the official NPI Registry.