MRS. MARY MATHEW (NPI# 1447621263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447621263 |
| Entity Type | Individual |
| Full Name | MRS. MARY MATHEW |
| Practice Address |
643 Shamrock Ln Feasterville Trevose PA 19053-3527 |
| Practice Telephone | 2676005407 |
| Mailing Telephone | 2676005407 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015558 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669922647 | Mary Malisa Mathew | Student in an Organized Health Care Education/Training Program | 123 Kingfield Rd, Philadelphia, PA 19115-4024 | 2016-10-13 |
| 1790727501 | Mary Ann Mathew | Physical Therapist | 740 S Washington St, Chillicothe, MO 64601-3042 | 2006-06-13 |
| 1487279543 | Mary Mathew | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2020-06-14 |
| 1184025330 | Mary Mathew | Physical Therapist | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2014-09-08 |
| 1780967182 | Mary Nms Mathew | Marriage & Family Therapist | 1721 Griffin Ave, Los Angeles, CA 90031 | 2011-09-21 |
| 1609027812 | Mary Mathew | Pharmacist | 140 Old Orangeburg Rd, Rockland Psychiatric Ctr, Orangeburg, NY 10962-1157 | 2008-10-07 |
| 1740217504 | Mary L Mathew | Internal Medicine | 1561 Long Pond Rd, Suite 206, Rochester, NY 14626-4117 | 2006-06-27 |
| 1306886577 | Mary Mathew | Pediatrics | 925 S Black Horse Pike, Williamstown, NJ 08094-1900 | 2006-06-07 |
| 1588617864 | Mary Cyriac Mathew | Anesthesiology | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2006-05-18 |
| Street Address |
643 SHAMROCK LN |
| City | FEASTERVILLE TREVOSE |
| State | PA |
| Zip Code | 19053-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496918 | Kelly Beaumont | Nurse Practitioner | 23 Bustleton Pike, Feasterville Trevose, PA 19053-6446 | 2020-04-16 |
| 1275747693 | Diana Rose Bailey | Nurse Practitioner | 157 Bustleton Pike # 161, Feasterville Trevose, PA 19053-6456 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FEASTERVILLE TREVOSE |
| Zip Code | 19053 |
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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.