Shailendra Mathur, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005757 Issued in NY

Practice address

9876 Queens Blvd
Suite 1K
Rego Park, NY 11374-4356

Phone

(718) 897-0300

Fax

(718) 897-3330

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Care 4 U Medical PC

  • General Practice Physician
  • Rego Park, NY
  • NPI 1558435974
  NPD (past)
• RJZM LLC

  • General Practice Physician
  • Richmond Hill, NY
  • NPI 1437352119
  NPD (past)
• Russell F Trahan D D P M P C

  • Podiatrist
  • New York, NY
  • NPI 1023356318
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1124048376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16015 77TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661019",
            "telephone_number": "718-926-2615",
            "fax_number": "718-969-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744356",
            "telephone_number": "718-897-0300",
            "fax_number": "718-897-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "SHAILENDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386414",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ester Matatov
• Ester Matatova
• Khana Matatova
• Rigina Matatova, NP
• Aleksandr I Matayev
• Gabrielle Louise Mauro, LCSW
• Liborio Mauro, PHARMD
• Jane-Elina Mavashev
• Maya'S Medical P.C.
• Andrew Maynard-Reid, MSPT

• Podiatrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.