Active NPI
Lijy Mathew, NP
- Psychiatric/Mental Health Nurse Practitioner
- Fitchburg, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN273625
- Practice address
- 326 Nichols Rd
Fitchburg, MA 01420-1914 - Phone
- (978) 878-8100
- NPI assigned
- Jan 3, 2012
- Last updated
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Community Health Connections, Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
dba South Gardner Community Health Center and Urgent Care
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
dba ACTION Health Services
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1811149586
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.