Active NPI
Anna T. Mathew, MD
- Nephrology Physician
- New Hyde Park, NY
National Provider Identifier
1982944658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 267301
- Practice address
- 410 Lakeville Road
Lijmc-Department of Medicine/Division of Nephrology
New Hyde Park, NY 11042 - Phone
- (341) 407-3804
- NPI assigned
- Feb 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 267301 | NY | |
| Nephrology Physician | 207RN0300X | 267301 | NY | Primary |
Addresses
Primary practice location
410 Lakeville Road
Lijmc-Department of Medicine/Division of Nephrology
New Hyde Park, NY 11042
Mailing address
100 Community Drive
2ND Floor
Great Neck, NY 11021
Phone (516) 465-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267301 | NY | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1982944658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMUNITY DRIVE",
"address_2": "2ND FLOOR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-465-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 LAKEVILLE ROAD",
"address_2": "LIJMC-DEPARTMENT OF MEDICINE/DIVISION OF NEPHROLOGY",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "341-407-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANNA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "267301",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "267301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.