Abraham Mathew, M.D, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D53705 Issued in MD

Legal business name

ABRAHAM MATHEW, M.D, PC

Practice address

3125 Baltimore Blvd
Finksburg, MD 21048-2307

Phone

(410) 861-8151

Fax

(410) 833-9045

NPI assigned

Dec 21, 2006

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Mathew, M.DNPI 1396753448

Title

President

Phone

(410) 861-8151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abraham Mathew, MD

  • Family Medicine Physician
  • Finksburg, MD
  • NPI 1396753448
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1437213428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BALTIMORE BLVD",
            "address_2": "PO BOX 436",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482307",
            "telephone_number": "410-861-8151",
            "fax_number": "410-833-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BALTIMORE BLVD",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482307",
            "telephone_number": "410-861-8151",
            "fax_number": "410-833-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM MATHEW, M.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-861-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D53705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Finksburg, MD
• Providers in Finksburg, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.