Siju Mathew (NPI# 1558759191, PAC ID# 6103137666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1558759191 |
| PAC ID by PECOS | 6103137666 |
| Professional Enrollment ID | I20150624002339 |
| Full Name | Siju Mathew |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF NEW JERSEY PC |
| Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Phone Number | 9736609334 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0042112500 |
| Number of Group Practice Members | 180 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310054 | HACKENSACKUMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1 Bay Ave, Montclair, NJ 07042-4837 | 9734296000 | NEW JERSEY HEALTHCARE SPECIALISTS PC |
| 201 Lyons Ave, Newark, NJ 07112-2027 | 9736609334 | AMERICAN ANESTHESIOLOGY OF NEW JERSEY PC |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF NEW JERSEY PC |
| Physicians | 203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmin Haque | Anesthesiology | American Anesthesiology of New Jersey PC | 2 Executive Dr, Fort Lee, NJ 07024-3308 |
| Linda R Kawam | Anesthesiology | American Anesthesiology of New Jersey PC | 187 Millburn Ave, Suite 102, Millburn, NJ 07041-1845 |
| Andrew B Severance | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New Jersey PC | 2090 Springdale Rd, Suite A, Cherry Hill, NJ 08003-2024 |
| Chang Kweon | Anesthesiology | American Anesthesiology of New Jersey PC | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 |
| Stella Mhlanga | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New Jersey PC | 99 Beauvoir Ave, Summit, NJ 07901-3533 |
| Nicholas S Warren | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New Jersey PC | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 |
| Jason Byers | Anesthesiology | American Anesthesiology of New Jersey PC | 99 Beauvoir Ave, Summit, NJ 07901-3533 |
| Dmitry Rozin | Anesthesiology | American Anesthesiology of New Jersey PC | 99 Beauvoir Ave, Summit, NJ 07901-3533 |
| Ami P Patel | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of New Jersey PC | 99 Beauvoir Ave, Summit, NJ 07901-3533 |
| David A Zylberger | Anesthesiology | American Anesthesiology of New Jersey PC | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip | 07112-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter M Farrugia | Cardiovascular Disease (cardiology) | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Juraj Lukac | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Daniel Goltz | Emergency Medicine | Newark Beth Israel Emergency Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Natasha Kasabwala | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Maulik M Trivedi | Emergency Medicine | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Erin T Devery | Nurse Practitioner | Nbimc Department of Heart | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Mimi N Ton | Pediatric Medicine | Nbimc Neonatal Associates | 201 Lyons Ave, Suite C9, Newark, NJ 07112-2027 |
| Ritu Chandak | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Xinlai Sun | Pathology | University Physician Associates of New Jersey Inc | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Shakeerah M Lockhart | Nurse Practitioner | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homer L Nelson | Internal Medicine | 410 Chancellor Ave, Newark, NJ 07112-1030 | |
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Razia S Awan | Internal Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jonathan C Dunn | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tatiana Ambarus | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Misbah Salam | Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Harvey K Bucholtz | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Cynthia A Galeota | Certified Nurse Midwife (cnm) | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in zip 07112 | |||
| City | NEWARK |
| Zip Code | 07112 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | NEWARK + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.