Individual provider Active NPI

Unknown Anuja Mathew

  • Physical Therapist
  • New York, NY
National Provider Identifier
1457789299
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036352 Issued in NY
Practice address
30 Wall St
Suite 500
New York, NY 10005-2201
Phone
(212) 742-8000
Fax
(212) 742-1557
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036352 NY Primary

Addresses

Primary practice location

30 Wall St
Suite 500
New York, NY 10005-2201

Mailing address

30 Wall St
Suite 500
New York, NY 10005-2201
Phone (212) 742-8000

Other names 1

  • Anuja Mathew Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002033 NY Practitioner - Physical Therapist in Private Practice 7416240460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
New York Plaza Physical Therapy PCGroup PAC ID 7719384957, 3 clinicians

Practice addresses (Care Compare)

1 New York PLZ
Concourse Level Suite L
New York, NY 10004-1901
Phone (646) 886-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036352NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Flushing Physical Therapy, PC Physical Therapist Current Accepting new patients
East Flushing Physical Therapy PC Physical Therapist CurrentSince Sep 28, 2020 Accepting new patients
Water Street Chiropractic PC CurrentSince Sep 23, 2021 Accepting new patients
New York Plaza Physical Therapy PC Physical Therapist CurrentSince Sep 23, 2021 Accepting new patients
Plaza One Physical Therapy PC Physical Therapist PastSince Aug 4, 2024 Accepting new patients

Locations

1 New York Plz
New York, NY 10004
Phone (646) 918-6883

30 Wall St
Ste 500
New York, NY 10005
Phone (212) 742-8000

424 Madison Ave
Ste 1200
New York, NY 10017
Phone (212) 417-0092

1 New York Plz
Ste L
New York, NY 10004
Phone (212) 256-1171

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.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1457789299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALL ST",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052201",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WALL ST",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052201",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUJA MATHEW",
        "first_name": "UNKNOWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANUJA",
            "last_name": "MATHEW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.