Saumya Elezebath Mathew, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057223 Issued in PA

Practice address

230 N Broad St
1St Floor Room 131
Philadelphia, PA 19102-1121

Phone

(215) 762-8559

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Saumya Abraham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1972997997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521548",
            "telephone_number": "267-205-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "address_2": "1ST FLOOR ROOM 131",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SAUMYA",
        "middle_name": "ELEZEBATH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAUMYA",
            "last_name": "ABRAHAM",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Merlin Mathew
• Philip Mathew, PAC
• Renji Chacko Mathew, CRNA
• Rex G. Mathew, M.D.
• Saji Mathew
• Seena Mathew, PHARM D
• Shirley Mathew, CRNA
• Steffy Mathew
• Suja Mathew, CRNP
• Susan Mathew

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.