Gyoltzna Mariam Mathew, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2929 Bainbridge Ave
Apt 5G
Bronx, NY 10458-2825

Phone

(516) 984-6462

NPI assigned

Apr 4, 2014

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

Other names 1

• Mariam Gyoltzna George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1679991814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 BAINBRIDGE AVE",
            "address_2": "APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BAINBRIDGE AVE",
            "address_2": "APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582825",
            "telephone_number": "516-984-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "GYOLTZNA",
        "middle_name": "MARIAM",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "GEORGE",
            "middle_name": "GYOLTZNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bindhu Kannikattal Mathew
• Celin Mathew, DPT
• Diana Mathew, MD
• Fnu Ann Mathew, MD
• George Mathew, DO
• Jamie Mathew, MD
• Jesni Mathew, PHARMD
• Jincy Mathew, MD
• Jisha Mary Mathew, RPA-C
• Joel Jacob Mathew, M.D.

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.