Jolly Mathew, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

164225 Issued in NY

Practice address

970 N Broadway
Yonkers, NY 10701-1309

Phone

(914) 969-3635

Fax

(914) 969-0407

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Yonkers East Dialysis Center Dialysis facility, Yonkers, NY, CCN 332669
• DaVita Hudson Valley Dialysis Center Dialysis facility, Tarrytown, NY, CCN 332571
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• SJR Medical, PC

  • Multi-Specialty Clinic/Center
  • Yonkers, NY
  • NPI 1366468936

  Nephrology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty RC Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Yonkers, NY
  • NPI 1164670113

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty RC Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tarrytown, NY
  • NPI 1265461487

  Dialysis facility

  Care Compare affiliation Name & address match
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881782985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011309",
            "telephone_number": "914-969-3635",
            "fax_number": "914-969-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011309",
            "telephone_number": "914-969-3635",
            "fax_number": "914-969-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JOLLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "164225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessey Mathew, PHARM.D.
• Cigi Mathew, NP
• Diane Mathew, OD
• Esther S Mathew, PHARMD
• Glory Mathew, FNP
• Merin Mathew
• Nitta Mathew, CCC-SLP
• Sharon Maria Mathew
• Sini Mathew, RPH
• Soniya Mathew, MD

• Nephrology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.