Individual provider Active NPI

Elizabeth Mathew, M.D,

  • Physical Medicine & Rehabilitation Physician
  • Bellerose, NY
National Provider Identifier
1447571393
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
249489-1 Issued in NY
Practice address
24739 Jericho Tpke
Bellerose, NY 11426-1541
Phone
(347) 732-3220
Fax
(347) 923-5511
NPI assigned
Jun 15, 2010
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 249489-1 NY Primary

Addresses

Primary practice location

24739 Jericho Tpke
Bellerose, NY 11426-1541

Mailing address

24739 Jericho Tpke
Bellerose, NY 11426-1541
Phone (347) 732-3220

Other identifiers 1

IdentifierTypeStateIssuer
03326721MedicaidNY

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
I20101204000103 NY Practitioner - Physical Medicine and Rehabilitation 4981891819 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kanwarpaul S Grewal Medical PLLCGroup PAC ID 6800124512, 6 clinicians

Practice addresses (Care Compare)

30 Merrick Ave
Suite 103
East Meadow, NY 11554-1580
Phone (516) 743-9450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249489-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation Current Accepting new patients
Island Musculoskeletal Care, .D., P.C. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2017 Accepting new patients
24 7 Ny Medical Health Provider PC CurrentSince Jun 20, 2025 Accepting new patients
1211 WPR Medical Services PC CurrentSince Oct 1, 2017 Accepting new patients
Doctors United, Inc CurrentSince May 15, 2020 Accepting new patients
Amb Medical Services, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Mac Anesthesia, PC CurrentSince Feb 1, 2012 Accepting new patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2017 Accepting new patients
Kanwarpaul S. Grewal Medical PLLC CurrentSince May 21, 2021 Accepting new patients
Castle Hill Rehab and Medical Services PC Physical Medicine & Rehabilitation PastSince Jun 9, 2014 Accepting new patients
Pelham Physical Medicine Inc Past Accepting new patients
Spinal Pain & Rehab Medical, P.C. Past Accepting new patients
Spinal Pain &Rehab Medical PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

1815 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 479-3900

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

30 Merrick Ave
Ste 101
East Meadow, NY 11554
Phone (516) 743-9450

30 Merrick Ave
Ste 103
East Meadow, NY 11554
Phone (516) 743-9450

10406 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 275-8100

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

11208 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 479-3900

125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1447571393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24739 JERICHO TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261541",
            "telephone_number": "347-732-3220",
            "fax_number": "347-923-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24739 JERICHO TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261541",
            "telephone_number": "347-732-3220",
            "fax_number": "347-923-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "249489-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03326721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.