Individual provider Active NPI

Maya Mathew, M.D.

  • Radiation Oncology Physician
  • Oneida, NY
National Provider Identifier
1114284882
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
304681 Issued in NY
Practice address
601 Seneca St
Oneida, NY 13421-2627
Phone
(315) 361-2351
Fax
(315) 361-2352
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 304681 NY Primary

Addresses

Primary practice location

601 Seneca St
Oneida, NY 13421-2627

Mailing address

601 Seneca St
Oneida, NY 13421-2627
Phone (315) 361-2351

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
I20200601001834 NY Practitioner - Radiation Oncology 8628371846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Seneca St
Oneida, NY 13421-2627
Phone (315) 361-2351

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Health Roswell Park Oncology LLC Radiation Oncology CurrentSince Jul 1, 2020 Accepting new patients
Oneida Health Roswell Park Oncology LLC Radiation Oncology CurrentSince Jul 1, 2020 Accepting new patients

Locations

601 Seneca St
Oneida, NY 13421
Phone (315) 361-2351

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1114284882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212627",
            "telephone_number": "315-361-2351",
            "fax_number": "315-361-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212627",
            "telephone_number": "315-361-2351",
            "fax_number": "315-361-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "304681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.