MRS. SUSAN MATHEW (NPI# 1306345285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306345285 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MATHEW |
| Credential | RN |
| Practice Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Practice Telephone | 7182647500 |
| Mailing Telephone | 7182647500 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
440804 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542295 | Susan Mathew | Nurse Practitioner | 10504 Willow Ridge Loop, Orlando, FL 32825-5097 | 2019-05-09 |
| 1356651244 | Susan Mathew | Specialist | 1429 Highway 6 Ste 209, Sugar Land, TX 77478-5135 | 2010-10-14 |
| 1023220308 | Susan Mathew | Nurse Practitioner | 2015 Linden Boulevard, Elmont, NY 11003 | 2007-05-07 |
| 1770675480 | Susan P. Mathew | Emergency Medicine | 201 Clyde Morris Blvd., Daytona Beach, FL 32114-2709 | 2006-09-29 |
| 1073993010 | Susan Mathew | Pharmacist | 7941 Oxford Ave, Philadelphia, PA 19111 | 2015-06-04 |
| 1003200700 | Susan Mathew | Internal Medicine | 12935 Gregory St, Blue Island, IL 60406 | 2015-03-20 |
| 1275957052 | Susan Mathew | Clinical Nurse Specialist | Hwy 264, Mpp 388, Polacca, AZ 86042-4000 | 2014-02-13 |
| 1952650798 | Susan Edison Mathew | Nurse Practitioner | 510 Hamburg Tpke Ste 101, Wayne, NJ 07470-2033 | 2012-09-07 |
| 1447388558 | Susan Mathew | Specialist | 525 E 68th St, Box 69, New York, NY 10021-4870 | 2007-03-01 |
| 1487726493 | Susan Varghese Mathew | Family Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-11-14 |
| Street Address |
7925 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1518583400 | Derryck Nesbitt | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-06-17 |
| 1093344624 | Amritha Mangalat | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-06 |
| 1619506490 | Jacob Gohari | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-03 |
| 1013546092 | Fairooz Abida | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1144859125 | Mary Camille Palisoc | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1750922092 | Diona Ceniza | Art Therapist | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-10-07 |
| 1164983763 | Anthony Chih Duong | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1306307988 | Adam Bernstein | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1558419010 | Anne Marie Ruocco Menendez | Registered Nurse | 22005 Hartland Ave, Queens Village, NY 11427-1227 | 2007-01-08 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| 1568933901 | Dollette Patricia Ifill | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-11 |
| 1184195604 | Anu Mathew | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-10 |
| 1720559370 | Ma Virginia Villadiego-punto | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-07 |
| 1760953566 | Asha Varghese | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-06 |
| 1982175733 | Annie Mathew David | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| 1033689849 | Priscilla Giselle Arroyave | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.