Elizabeth Mathew, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NN06524000 Issued in NJ

Practice address

414 Mountain Way
Morris Plains, NJ 07950-1104

Phone

(973) 998-0419

Fax

(973) 741-4800

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• County of Passaic Department of Finance

  • Land Ambulance
  • Wayne, NJ
  • NPI 1033153556
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1669618120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MOUNTAIN WAY",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501104",
            "telephone_number": "973-998-0419",
            "fax_number": "973-741-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MOUNTAIN WAY",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501104",
            "telephone_number": "973-998-0419",
            "fax_number": "973-741-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NN06524000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Eyes, Inc.
• Bruce E Martin, OPTICIAN
• Gregory Martin, D.C.
• Jair Martinez, RRT
• Samantha E Mascenik, PT, DPT
• Tijo Mathew
• Max Rehab LLC
• David Isak Mayerhoff, M.D.
• Samantha McCann, M.ED., BCBA
• Erica Lynn McDonald, PA-C

• Gerontology Nurse Practitioner in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.