Individual provider Active NPI

Josy Mathew, MBBS, MD

  • Hematology & Oncology Physician
  • Concord, NH
National Provider Identifier
1174715247
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
50061 Issued in MN
Practice address
250 Pleasant St
Concord, NH 03301-7559
Phone
(603) 622-6484
Fax
(603) 647-8593
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 50061 MN Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-7559

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2604
Phone (603) 622-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080716000797 MN Practitioner - Hematology/Oncology 3173696697 Reassigns benefits to 1 organization
I20220420001455 NH Practitioner - Hematology/Oncology 3173696697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
New Hampshire Oncology-Hematology PAGroup PAC ID 0143290759, 14 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 224-2556

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50061MNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 30, 2013 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 30, 2013 Accepting new patients
New Hampshire Oncology-Hematology PA Hematology & Oncology CurrentSince Jan 11, 2022 Accepting new patients
Elliot Professional Services CurrentSince Jun 29, 2022 Accepting new patients

Locations

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
#2
Concord, NH 03301

11 Kimball Dr
Unit 125
Hooksett, NH 03106
Phone (603) 314-6879

200 Technology Dr
Hooksett, NH 03106
Phone (603) 622-6484

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

Organizations & group practices 5

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 6

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1174715247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062604",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JOSY",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "50061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.