Seena Merin Mathew

Primary specialty

PharmacistTaxonomy code 183500000X

License

069840 Issued in NY

Practice address

1944 Deer Park Ave
Deer Park, NY 11729-3327

Phone

(631) 667-6557

NPI assigned

Oct 3, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1144944273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 HILL AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033007",
            "telephone_number": "516-395-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293327",
            "telephone_number": "631-667-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SEENA",
        "middle_name": "MERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marinos
• Mark Medical Care, PLLC
• Ron Mark, M.D.
• Jacquelyn Martin
• Masoom H. Qadeer, M.D., P.C.
• Teresa Mattutat
• Andrea Mazz, LPN
• MC of Long Island, Inc.
• Bronwyn Joan McAndrews
• Brenda McArthur, COTA

• Pharmacist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.