Active NPI
Rosamma Mathew
- Registered Nurse
- Orangeburg, NY
National Provider Identifier
1275882243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 420909
- Practice address
- 9 Birch CT
Orangeburg, NY 10962-2829 - Phone
- (845) 623-3904
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 420909 | NY | Primary |
Addresses
Primary practice location
9 Birch CT
Orangeburg, NY 10962-2829
Mailing address
9 Birch CT
Orangeburg, NY 10962-2829
Phone (845) 623-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420909 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1275882243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BIRCH CT",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622829",
"telephone_number": "845-623-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BIRCH CT",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622829",
"telephone_number": "845-623-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ROSAMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "420909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.