Active NPI
Philip P Mathew, M.D
- Internal Medicine Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 269387
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Nyc Community Medical Care | Current | Accepting new patients | |
| Advantagecare Physicians PC | Internal Medicine | Current | Accepting new patients |
| Health Care Choices Ny Inc | Current | 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
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1770521270
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1427486703
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.