Pamela Joan Mathews, PH.D. CCC. DIP.ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002923-1 Issued in NY

Practice address

270 Park Ave
Huntington, NY 11743-2787

Phone

(631) 351-2000

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1154606143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CAMBRIDGE DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763542",
            "telephone_number": "631-474-4806",
            "fax_number": "631-474-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "PAMELA",
        "middle_name": "JOAN",
        "credential": "PH.D.  CCC. DIP.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl Mastrocinque
• Deanna Mastrorocco, LPN
• Beena Mathai-Jose
• Anil George Mathew, M.D.
• Brian Mathew
• Jennifer Mathurin
• Melissa Mathurin
• Robert J Matlach, DDS
• Matthew Kassnove, DPM, PC
• Nicolas Mavromoustakos

• Speech-Language Pathologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.