Mr Jacob K Mathew, MD | |
100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 | |
(631) 476-4780 | |
(631) 476-4781 |
Full Name | Mr Jacob K Mathew |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 41 Years |
Location | 100 Oakland Ave, Port Jefferson, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407857634 | NPI | - | NPPES |
01494779 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 196027 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Hospital | Port jefferson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Medical Of Upper East Side Pllc | 0648465039 | 737 |
Entity Name | Long Island Community Hospital At Nyu Langone Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417232760 PECOS PAC ID: 9739090051 Enrollment ID: O20031218000695 |
Entity Name | Premier Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144 |
Entity Name | City Medical Of Upper East Side Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Entity Name | Internal Medicine Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619188489 PECOS PAC ID: 1951291467 Enrollment ID: O20110711000004 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacob K Mathew, MD 100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 Ph: (631) 476-4780 | Mr Jacob K Mathew, MD 100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 Ph: (631) 476-4780 |
Dinesh Shukla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777 Phone: 631-331-0776 Fax: 631-473-4760 | |
Ryan Berry, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2518 | |
Jeena Elizabeth John, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Sameh Wahba, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 60 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-0776 | |
Dr. Christopher M Sinclair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 254 Windward Dr, Port Jefferson, NY 11777 Phone: 631-560-7290 | |
Paul Fritz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 | |
Juliet A Nicolescu-nichols, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 |