JISHA MERIN MATHEW (NPI# 1700377934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700377934 |
| Entity Type | Individual |
| Full Name | JISHA MERIN MATHEW |
| Credential | MS, FNP-BC |
| Practice Address |
1835 Oliver Ave Apt 4 Valley Stream NY 11580 |
| Mailing Address |
1468 Madison Ave New York NY 10029-6508 |
| Practice Telephone | 3479727207 |
| Mailing Telephone | 2122416639 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
342567 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | ANCC FNP_BC | 2018000509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478724 | Jisha Mathew | Nurse Practitioner | 2636 High Ridge Dr, Lakeland, FL 33812-5883 | 2019-10-16 |
| 1114114295 | Jisha Mary Mathew | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2007-10-02 |
| Street Address |
1835 OLIVER AVE APT 4 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| 1962926105 | Kevin Taylor | Social Worker | 50 West Hawthorne Ave, Valley Stream, NY 11580 | 2017-07-31 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344610 | Justin Chiang | Nurse Practitioner | 1594 Arkansas Dr, Valley Stream, NY 11580-1842 | 2020-10-19 |
| 1417571027 | Puspa Acharya Kafle | Nurse Practitioner | 88 Carstairs Rd, Valley Stream, NY 11581-3319 | 2020-05-31 |
| 1063052389 | Elana Deutscher | Nurse Practitioner | 718 Hungry Harbor Rd, Valley Stream, NY 11581-3039 | 2020-01-14 |
| 1871133496 | Kimberly Chang-munro | Nurse Practitioner | 1679 Lee St, Valley Stream, NY 11580-1219 | 2020-01-11 |
| 1205470291 | Iqra Oza | Nurse Practitioner | 646 Wyngate Dr E, Valley Stream, NY 11580-1439 | 2019-11-01 |
| 1518425420 | Anita N Sawyer | Nurse Practitioner | 75 Lyon St, Valley Stream, NY 11580-3517 | 2019-03-10 |
| 1770041279 | Petal Martinez | Nurse Practitioner | 142 Salem Rd, Valley Stream, NY 11580-1118 | 2019-03-04 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1982142535 | Rhonda Singh-james | Nurse Practitioner | 120 Pilgrim Pl, Valley Stream, NY 11580-5339 | 2017-02-03 |
| 1811361306 | Tolulope Ogundeyi | Nurse Practitioner | 420 N Corona Ave, Unit 3, Valley Stream, NY 11580-2602 | 2015-11-20 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on JISHA MERIN MATHEW.
| 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.