Individual provider Active NPI

Shinzy Ann Mathew, CRNP

  • Gerontology Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1326623182
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP023184 Issued in PA
Practice address
5017 Brittany LN
Bryn Mawr, PA 19010-2079
Phone
(215) 552-9616
NPI assigned
Mar 13, 2021
Last updated
Mar 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP023184 PA Primary

Addresses

Primary practice location

5017 Brittany LN
Bryn Mawr, PA 19010-2079

Mailing address

5017 Brittany LN
Bryn Mawr, PA 19010-2079
Phone (267) 266-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000844 PA Practitioner - Nurse Practitioner 8729483771 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Rehabilitation Associates LLCGroup PAC ID 2466523881, 17 clinicians
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians
Rosenfeld Vanwirt PCGroup PAC ID 5698909117, 29 clinicians

Practice addresses (Care Compare)

2510 Maryland Rd
Suite 150
Willow Grove, PA 19090-1143
Phone (215) 674-3337

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8237
Phone (484) 626-0480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jul 1, 2022 Accepting new patients
RFVW Healthcare PC CurrentSince Mar 10, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2021 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2021 Accepting new patients
Rosenfeld Vanwirt PC CurrentSince Mar 10, 2025 Accepting new patients
HR Physician Services CurrentSince Jul 1, 2022 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
HR Physician Services Current Accepting new patients
Abington Rehabilitation Associates, LLC CurrentSince Sep 8, 2023 Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

1 E Broad St
Ste 130
Bethlehem, PA 18018

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

23 Bustleton Pike
Ste 100
Feasterville Trevose, PA 19053
Phone (215) 464-9599

1650 Huntingdon Pike
Ste 2
Meadowbrook, PA 19046
Phone (215) 938-3230

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

8556 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 333-3500

1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275

2510 Maryland Rd
Ste 150
Willow Grove, PA 19090
Phone (215) 674-3337

611 Easton Rd
Unit 475
Willow Grove, PA 19090

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1326623182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 BRITTANY LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102079",
            "telephone_number": "267-266-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 BRITTANY LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102079",
            "telephone_number": "215-552-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SHINZY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.