Individual provider Active NPI

Philip P Mathew, M.D

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1396183133
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
269387 Issued in NY
Practice address
8708 Justice Ave Ste CJ
Elmhurst, NY 11373-8715
Phone
(718) 701-2727
Fax
(516) 874-5784
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269387 NY Primary

Addresses

Primary practice location

8708 Justice Ave Ste CJ
Elmhurst, NY 11373-8715

Mailing address

5 Morley CT
Albertson, NY 11507-1138
Phone (718) 701-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140305000222 NY Practitioner - Internal Medicine 4486884897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Dec 15, 2018 Accepting new patients
Nyc Community Medical Care CurrentSince Jan 4, 2025 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Dec 15, 2018 Accepting new patients
Health Care Choices Ny Inc CurrentSince Oct 20, 2023 Accepting new patients

Locations

1888 Westchester Ave
Ste B
Bronx, NY 10472
Phone (917) 634-9600

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

18005 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-6300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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 1

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1396183133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORLEY CT",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071138",
            "telephone_number": "718-701-2727",
            "fax_number": "516-874-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE STE CJ",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113738715",
            "telephone_number": "718-701-2727",
            "fax_number": "516-874-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "PHILIP",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.