Active NPI
Jaijo Mathew, PT,DPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1538015169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 055689
- Practice address
- 33 Richmond Hill Rd BLDG Suite
Staten Island, NY 10314-5950 - Phone
- (718) 982-5358
- NPI assigned
- Mar 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 055689 | NY | Primary |
Addresses
Primary practice location
33 Richmond Hill Rd BLDG Suite
Staten Island, NY 10314-5950
Mailing address
58 Madison Ave
Staten Island, NY 10314-1554
Phone (718) 419-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33 Richmond Hill Rd
Staten Island, NY 10314-5950
Phone (718) 982-6340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055689 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358
Organizations & group practices 1
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1538015169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MADISON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141554",
"telephone_number": "718-419-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RICHMOND HILL RD BLDG SUITE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145950",
"telephone_number": "718-982-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "JAIJO",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "055689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.