Individual provider Active NPI

Tobin Punnoose Mathew, DNP

  • Certified Registered Nurse Anesthetist
  • Livingston, NJ
National Provider Identifier
1568945376
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00939300 Issued in NJ
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone
(908) 499-7168
NPI assigned
Sep 8, 2018
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 722944-1 NY
Registered Nurse 163W00000X 26NR16235500 NJ
Certified Registered Nurse Anesthetist 367500000X 26NJ00939300 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

831 Greenwich LN
Union, NJ 07083-7904
Phone (908) 964-0690

Other practice location 1

831 Greenwich Ln
Union, NJ 07083-7904
Phone (908) 964-0690

Other practice location 2

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 499-7168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021000203 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850622028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

41 Arthur St
East Brunswick, NJ 08816-3712
Phone (732) 828-5900

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16235500NJMDRegistered Nurse
722944-1NYMDRegistered Nurse
26NJ00939300NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Mar 4, 2021 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Jan 16, 2026 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Feb 1, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

41 Arthur St
East Brunswick, NJ 08816
Phone (201) 703-2900

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1568945376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 GREENWICH LN",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837904",
            "telephone_number": "908-964-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "908-499-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Greenwich Ln",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837904",
            "country_code": "US",
            "telephone_number": "908-964-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-499-7168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "TOBIN",
        "middle_name": "PUNNOOSE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "722944-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16235500",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00939300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.