Individual provider Active NPI

George Thomas Mathew, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1104111756
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
261581 Issued in NY
Practice address
510 Hamburg Tpke Ste 101
Wayne, NJ 07470-2033
Phone
(262) 442-7948
NPI assigned
Jun 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 261581 NY Primary

Addresses

Primary practice location

510 Hamburg Tpke Ste 101
Wayne, NJ 07470-2033

Mailing address

980 Broadway # 534
Thornwood, NY 10594-1139
Phone (914) 977-0346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000583 NY Practitioner - Internal Medicine 0648426643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Allied Medical of Ny PCGroup PAC ID 9335590751, 11 clinicians

Practice addresses (Care Compare)

1 Old Country Rd
Suite 285
Carle Place, NY 11514-1824
Phone (973) 942-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical of Ny PC CurrentSince Jul 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Oct 1, 2013 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Oct 1, 2013 Accepting new patients
North Haledon Medical, PC CurrentSince Jul 22, 2025 Accepting new patients
Medical Research Associates,PC Internal Medicine Past Accepting new patients
World Chiropractic Incorporated Past Accepting new patients

Locations

510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555

510 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 427-6975

1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1104111756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BROADWAY # 534",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941139",
            "telephone_number": "914-977-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702033",
            "telephone_number": "262-442-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "261581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.