Individual provider Active NPI

Rekha Rebecca Mathew, DMD

  • Dentist
  • Haverstraw, NY
National Provider Identifier
1992952782
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055338 Issued in NY
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

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001002 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557672755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18409FLMDDentist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.