Individual provider Active NPI

Jay S Mathur, DO

  • Internal Medicine Physician
  • Rye, NY
National Provider Identifier
1609192608
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
269640 Issued in NY
Practice address
101 Theall Rd
Rye, NY 10580-1406
Phone
(609) 585-1122
Fax
(609) 585-0309
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269640 NY Primary
Internal Medicine Physician 207R00000X 50077 CT

Addresses

Primary practice location

101 Theall Rd
Rye, NY 10580-1406

Mailing address

4 Shawnee TRL
Harrison, NY 10528-1812
Phone (609) 585-1122

Other practice location 1

787 King St
Port Chester, NY 10573-1225
Phone (609) 585-1122

Other identifiers 1

IdentifierTypeStateIssuer
03603629MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111019000864 CT Practitioner - Internal Medicine 5193997997 Reassigns benefits to 1 organization
I20131021001868 NY Practitioner - Internal Medicine 5193997997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Mercer Bucks Medical Associates PCGroup PAC ID 9133024508, 44 clinicians

Practice addresses (Care Compare)

101 Theall Rd
Rye, NY 10580-1406
Phone (609) 585-1122

Hospital & facility affiliations

  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Hospice of Westchester Hospice, White Plains, NY, CCN 331520
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • The Osborn Nursing home, Rye, NY, CCN 335797
  • King Street Home Inc Nursing home, Port Chester, NY, CCN 335447

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ask Me- Jadien Smith, LCSW, PLLC Current Accepting new patients
Harmony Medical Services of New York, PLLC Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
Mercer Bucks Medical Associates, P.C. Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Internal Medicine CurrentSince Jun 30, 2022 Accepting new patients
First Docs PC Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

444 Foxon Rd
East Haven, CT 06513
Phone (203) 407-3500

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

787 King St
Rye Brook, NY 10573
Phone (914) 600-7149

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1609192608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHAWNEE TRL",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281812",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THEALL RD",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801406",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 King St",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "105731225",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "JAY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269640",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "50077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03603629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.