LIJY MATHEW (NPI# 1508136946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508136946 |
| Entity Type | Individual |
| Full Name | LIJY MATHEW |
| Credential | NP |
| Practice Address |
326 Nichols Rd Fitchburg MA 01420-1914 |
| Mailing Address |
2 Coventry Rd Atkinson NH 03811-2501 |
| Practice Telephone | 9788788100 |
| Mailing Telephone | 7818358365 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN273625 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
067690-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN273625 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 59 Stiles Rd Ste 203, Salem, NH 030792886 | 6034586681 | 6034586919 |
| Street Address |
326 NICHOLS RD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817560 | George Chudolij | Anesthesiology | 326 Nichols Rd, Suite 16, Fitchburg, MA 01420-1914 | 2005-08-09 |
| 1952902231 | Savana C Ricciuti-heaps | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-11-04 |
| 1649871732 | Akosua Asare | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-11-04 |
| 1114527959 | Christina Luu | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-10-30 |
| 1245847292 | Krystina Kacee Bonilla | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-09-24 |
| 1831703859 | Salvatore James Distefano | Clinic/Center | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-09-08 |
| 1609489913 | Sybil Sinclair | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-08-26 |
| 1962029405 | Kelly Elisabeth Murphy | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-07-01 |
| 1841815800 | Ellyn Kathleen Guinding | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-06-15 |
| 1962026468 | Courtney Fogarty | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740572494 | Lifehealth Center Inc | Nurse Practitioner | 348 Lunenburg St, Suite 301, Fitchburg, MA 01420-4566 | 2011-05-12 |
| 1053395285 | Lori B Dakin | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1931 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.