Active NPI
Sheela Mathew, MS,FNP
- Family Health Clinical Nurse Specialist
- Farmingville, NY
National Provider Identifier
1922353267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- F337416
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F337416 | NY | MD | Family Health Clinical Nurse Specialist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.