Active NPI
Reny Mathew, DNP
- Psychiatric/Mental Health Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1376454231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F408930-01
- Practice address
- 450 Hillside Dr S
New Hyde Park, NY 11040-2707 - Phone
- (516) 474-9541
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F408930-01 | NY | Primary |
Addresses
Primary practice location
450 Hillside Dr S
New Hyde Park, NY 11040-2707
Mailing address
450 Hillside Dr S
New Hyde Park, NY 11040-2707
Phone (516) 474-9541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1376454231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 HILLSIDE DR S",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402707",
"telephone_number": "516-474-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 HILLSIDE DR S",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402707",
"telephone_number": "516-474-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "RENY",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F408930-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.