Active NPI
Rekha Rebecca Mathew, DMD
- Dentist
- Haverstraw, NY
National Provider Identifier
1992952782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 055338
- Practice address
- 31-37 West Broad Street, 3Rd FL.
Hudson River Healthcare, Inc.
Haverstraw, NY 10927-1615 - Phone
- (845) 429-4499
- Fax
- (845) 429-5185
- NPI assigned
- Aug 22, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN 18409 | FL | |
| Dentist | 122300000X | 055338 | NY | Primary |
Addresses
Primary practice location
31-37 West Broad Street, 3Rd FL.
Hudson River Healthcare, Inc.
Haverstraw, NY 10927-1615
Mailing address
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Phone (914) 734-8800
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615001002 | NY | Order and Referring Only - Oral Surgery | 1557672755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 18409 | FL | MD | Dentist |
Interoperability endpoints
- rekha.mathew@hrh.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1992952782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31-37 WEST BROAD STREET, 3RD FL.",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "HAVERSTRAW",
"state": "NY",
"postal_code": "109271615",
"telephone_number": "845-429-4499",
"fax_number": "845-429-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "REKHA",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 18409",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.