Individual provider Active NPI

Rose Marie Mathew, DO

  • Neurology Physician
  • Fishkill, NY
National Provider Identifier
1679638886
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
238487 Issued in NY
Practice address
200 Westage Bus Ctr Dr.
Sutie 320
Fishkill, NY 12524-2265
Phone
(845) 452-9750
Fax
(845) 452-9751
NPI assigned
Dec 27, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 238487 NY Primary

Addresses

Primary practice location

200 Westage Bus Ctr Dr.
Sutie 320
Fishkill, NY 12524-2265

Mailing address

21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723
Phone (845) 452-9750

Other identifiers 1

IdentifierTypeStateIssuer
02962449MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090313000348 NY Practitioner - Neurology 4587720776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eriver Neurology of New York LLCGroup PAC ID 5193759033, 4 clinicians

Practice addresses (Care Compare)

200 Westage Bus Ctr Dr
Suite 324
Fishkill, NY 12524-2265
Phone (845) 452-9750

21 Fox St
Poughkeepsie, NY 12601-4724
Phone (845) 452-9750

21 Fox St
Suite 102
Poughkeepsie, NY 12601-4723

21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eriver Neurology of New York. LLC Neurology CurrentSince Jul 1, 2016 Accepting new patients
Nuvance Health Medical Practice PC Past Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 320
Fishkill, NY 12524
Phone (845) 831-0471

200 Westage Business Ctr Dr
Ste 324
Fishkill, NY 12524
Phone (845) 896-0611

21 Fox St
Poughkeepsie, NY 12601

21 Fox St
Ste 102
Poughkeepsie, NY 12601
Phone 84542597950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA

Organizations & group practices 2

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 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1679638886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FOX STREET",
            "address_2": "SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014723",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUS CTR DR.",
            "address_2": "SUTIE 320",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242265",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "238487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02962449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.