Individual provider Active NPI

Lijy Mathew, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fitchburg, MA
National Provider Identifier
1508136946
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN273625 Issued in MA
Practice address
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone
(978) 878-8100
NPI assigned
Jan 3, 2012
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN273625 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 067690-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN273625 MA Primary

Addresses

Primary practice location

326 Nichols Rd
Fitchburg, MA 01420-1914

Mailing address

59 Stiles Rd Ste 203
Salem, NH 03079-2886
Phone (603) 458-6681

Other practice location 1

59 Stiles Rd Ste 203
Salem, NH 03079-2886
Phone (603) 458-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000880 MA Practitioner - Nurse Practitioner 9133387673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Connections, IncGroup PAC ID 8729074992, shared by 5 NPIs, 91 clinicians

Practice addresses (Care Compare)

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince May 30, 2019 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 21, 2015 Accepting new patients
Community Health Connections, Inc. CurrentSince May 30, 2019 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Aug 21, 2015 Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

Interoperability endpoints

  • Direct secure messaging: lijy.mathew.p1@direct.chcfhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1508136946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792886",
            "telephone_number": "603-458-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Stiles Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792886",
            "country_code": "US",
            "telephone_number": "603-458-6681",
            "fax_number": "603-458-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LIJY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN273625",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "067690-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN273625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.