JUSTIN DANIEL MATHEW


Address: 3444 Kossuth Ave, Bronx, NY 10467-2410
Phone: 7189204420

JUSTIN DANIEL MATHEW (NPI# 1356736862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356736862
Entity Type Individual
Full Name JUSTIN DANIEL MATHEW
Credential MD
Practice Address 3444 Kossuth Ave
Bronx
NY 10467-2410
Mailing Address 150 Bergen St
Department of Medicine/office of Education
Newark
NJ 07103-2496
Practice Telephone 7189204420
Practice Fax Number 7189205202
Enumeration Date 2015-04-01
Last Update Date 2020-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
150 Bergen St, Department of Medicine/office of Education, Newark, NJ 071032496 9739726056 9739723129

Other Providers JUSTIN MATHEW

NPI Name Taxonomy Address Enumeration
1417310764 Justin Itty Mathew Emergency Medicine Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 2016-04-04
1679187132 Justin Thomas Mathew Physical Therapist 2050 Scenic Hwy N Ste A, Snellville, GA 30078-2688 2020-09-02
1366900771 Justin Mathew Pharmacist 9300 Dewitt Loop, Oaks Pavillion Floor 1, Room 01.700, Fort Belvoir, VA 22060 2019-03-05
1548767981 Justin Mathew Student in an Organized Health Care Education/Training Program 622 W 168th St, New York, NY 10032-3720 2018-04-11

Office Location

Street Address 3444 KOSSUTH AVE
City BRONX
State NY
Zip Code 10467-2410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386639011 Benjamin Weintraub Pediatrics 3444 Kossuth Ave, Montefiore Medical Group/ Family Care Center, Bronx, NY 10467-2410 2005-09-19
1356981112 Ariella Lipetz Occupational Therapist 3444 Kossuth Ave, Bronx, NY 10467-2410 2020-01-09
1093358749 Rebecca Mary Holzhauer Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2019-10-25
1578127916 Francis William Bongiovanni Nurse Practitioner 3444 Kossuth Ave, Bronx, NY 10467-2410 2019-04-30
1649748419 Gail Saderholm Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2018-11-09
1811498116 Alexis Endora Martin Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2018-02-22
1619415999 Pamela Icochea Calenzani Health Educator 3444 Kossuth Ave, Bronx, NY 10467-2410 2017-02-07
1427502988 Anne E Fuller Pediatrics 3444 Kossuth Ave, Bronx, NY 10467-2410 2016-08-12
1831557339 Olga Santiago Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2016-01-29
1386024370 Staceyann Smith Pediatrics 3444 Kossuth Ave, Bronx, NY 10467-2410 2015-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151041 Islam Moheisen Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 2020-10-15
1942814710 Wai Bun Liew Student in an Organized Health Care Education/Training Program 234 E 149th St Ste 2a8, Bronx, NY 10451-5504 2020-08-31
1013520444 Aireni A Sterling Lachapel Student in an Organized Health Care Education/Training Program 3212 Decatur Ave Apt 3a, Bronx, NY 10467-4223 2020-08-25
1023629748 Shellsea Portillo Canales Student in an Organized Health Care Education/Training Program 4222 3rd Ave, Bronx, NY 10457-4502 2020-08-14
1013527753 Cherine Awad Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 2020-08-07
1962012161 Yinelka Grisel Silverio De Castro Student in an Organized Health Care Education/Training Program 234 E 149th St Dept Internal, Bronx, NY 10451-5504 2020-08-03
1164031316 Patrick Michael Biskupski Student in an Organized Health Care Education/Training Program 234 E 149th St Fl 8, Bronx, NY 10451-5504 2020-07-23
1023626926 Tolulope Oyinlola Olorunsogo Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 2020-07-16
1598373615 Sharan Mirchandani Student in an Organized Health Care Education/Training Program 4422 3rd Ave Bldg 4th, Bronx, NY 10457-2545 2020-07-15
1750999801 Kalyan C Chilukuri Student in an Organized Health Care Education/Training Program Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 2020-07-15
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

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.

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