Individual provider Active NPI

Anna Mathew, M.D.

  • Hematology & Oncology Physician
  • New City, NY
National Provider Identifier
1750479499
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
169371 Issued in NY
Practice address
10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone
(845) 634-2727
Fax
(845) 634-2882
NPI assigned
Oct 10, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 169371 NY Primary

Addresses

Primary practice location

10 Esquire Rd
Suite 6
New City, NY 10956-3336

Mailing address

10 Esquire Rd
Suite 6
New City, NY 10956-3336
Phone (845) 634-2727

Other identifiers 6

IdentifierTypeStateIssuer
01277669MedicaidNY
363636POtherNYHIP
P1964972OtherNYOXFORD
11152OtherNYGHI
4627780OtherNYAETNA
1Z7852OtherNYBCBS

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
I20040909000892 NY Practitioner - HematologyPractitioner - Medical Oncology 0648242644 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg & Mathew Medical Associates, P.L.L.C. Hematology & Oncology CurrentSince Jul 1, 2002 Accepting new patients
Robert Goldberg, M.D. Hematology & Oncology Past Accepting new patients

Locations

10 Esquire Rd
Ste 6
New City, NY 10956
Phone (845) 634-2727

18 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1750479499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 6",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563336",
            "telephone_number": "845-634-2727",
            "fax_number": "845-634-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "169371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277669",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "363636P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1964972",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "11152",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4627780",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1Z7852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.