Individual provider Active NPI

Sheela Mathew, MS,FNP

  • Family Health Clinical Nurse Specialist
  • Farmingville, NY
National Provider Identifier
1922353267
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
F337416 Issued in NY
Practice address
1055 Portion Rd
Suit 11W
Farmingville, NY 11738-2299
Phone
(631) 736-4321
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X F337416 NY Primary

Addresses

Primary practice location

1055 Portion Rd
Suit 11W
Farmingville, NY 11738-2299

Mailing address

1055 Portion Rd
Suit 11W
Farmingville, NY 11738-2299
Phone (631) 736-4321

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001822 NY Order and Referring Only - Nurse Practitioner 8325333057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
F337416NYMDFamily Health Clinical Nurse Specialist

Networks

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

Interoperability endpoints

  • Direct secure messaging: smathew12686@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1922353267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PORTION RD",
            "address_2": "SUIT 11W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382299",
            "telephone_number": "631-736-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PORTION RD",
            "address_2": "SUIT 11W",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382299",
            "telephone_number": "631-736-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SHEELA",
        "name_prefix": "Ms.",
        "credential": "MS,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "F337416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

Verify at the official NPI Registry.