Active NPI
Long Island Housecall Physician P.C.
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1609361369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 269387
- Legal business name
- LONG ISLAND HOUSECALL PHYSICIAN P.C.
- Practice address
- 8708 Justice Ave Ste CJ
Elmhurst, NY 11373-8715 - Phone
- (718) 701-2727
- Fax
- (516) 874-5784
- NPI assigned
- Jun 26, 2018
- Last updated
- Feb 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip P Mathew, MD
- Title
- Owner/MD
- Phone
- (718) 701-2727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 269387 | NY | Primary |
Addresses
Primary practice location
8708 Justice Ave Ste CJ
Elmhurst, NY 11373-8715
Mailing address
5 Morley CT
Albertson, NY 11507-1138
National Provider Directory
National Provider DirectoryLocations
8708 Justice Ave
Ste Cj
Elmhurst, NY 11373
Phone (718) 201-2727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1396183133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1609361369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MORLEY CT",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8708 JUSTICE AVE STE CJ",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113738715",
"telephone_number": "718-701-2727",
"fax_number": "516-874-5784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND HOUSECALL PHYSICIAN P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-26",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "718-701-2727",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "269387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.