Individual provider Active NPI

Antony Mathew, CO,BOCPO

  • Prosthetist
  • Yonkers, NY
National Provider Identifier
1104250653
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
C14290 Issued in NY
Practice address
70 Smart Ave
Yonkers, NY 10704-1066
Phone
(914) 968-1370
Fax
(914) 968-1371
NPI assigned
Sep 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X C14290 NY
Prosthetist 224P00000X C14290 NY Primary

Addresses

Primary practice location

70 Smart Ave
Yonkers, NY 10704-1066

Mailing address

70 Smart Ave
Yonkers, NY 10704-1066
Phone (914) 968-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C14290NYMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
True Design Prosthetics & Orthotics Inc. Orthotist CurrentSince Feb 25, 2024 Accepting new patients
Mobility Clinic Inc PastSince Apr 4, 2013 Accepting new patients

Locations

70 Smart Ave
Yonkers, NY 10704
Phone (914) 968-1370

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": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1104250653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SMART AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041066",
            "telephone_number": "914-968-1370",
            "fax_number": "914-968-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SMART AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041066",
            "telephone_number": "914-968-1370",
            "fax_number": "914-968-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANTONY",
        "credential": "CO,BOCPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-01",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NY",
            "license": "C14290",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NY",
            "license": "C14290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.