Active NPI
Malik Elijah Mathews
- Taxi
- Newport News, VA
National Provider Identifier
1467961797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- T68108668
- Practice address
- 761 Adams Dr Apt 8a
Newport News, VA 23601-2624 - Phone
- (757) 902-0933
- NPI assigned
- Sep 29, 2017
- 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 |
|---|---|---|---|---|
| Taxi | 344600000X | T68108668 | VA | Primary |
Addresses
Primary practice location
761 Adams Dr Apt 8a
Newport News, VA 23601-2624
Mailing address
761 Adams Dr Apt 8a
Newport News, VA 23601-2624
Phone (757) 902-0933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822455857 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T68108668 | VA | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467961797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 ADAMS DR APT 8A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012624",
"telephone_number": "757-902-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 ADAMS DR APT 8A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012624",
"telephone_number": "757-902-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MALIK",
"middle_name": "ELIJAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "VA",
"license": "T68108668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822455857",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.