| Mr Jacob K Mathew, MD | |
|
475 E Main St Ste 205, Patchogue, NY 11772-3121 | |
| (631) 394-2550 | |
| (631) 654-1474 |
| Full Name | Mr Jacob K Mathew |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 43 Years |
| Location | 475 E Main St Ste 205, Patchogue, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407857634 | NPI | - | NPPES |
| 01494779 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 196027 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brookhaven Heart Pllc | 6305846114 | 25 |
| Entity Name | Long Island Community Hospital At Nyu Langone Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417232760 PECOS PAC ID: 9739090051 Enrollment ID: O20031218000695 |
| Entity Name | Premier Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144 |
| Entity Name | City Medical Of Upper East Side Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
| Entity Name | Internal Medicine Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619188489 PECOS PAC ID: 1951291467 Enrollment ID: O20110711000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob K Mathew, MD 100 Oakland Ave, Suite 4, Port Jefferson, NY 11777-2172 Ph: (631) 476-4780 | Mr Jacob K Mathew, MD 475 E Main St Ste 205, Patchogue, NY 11772-3121 Ph: (631) 394-2550 |
Dr. Lisa Marie Bonvino, DO Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-447-3048 | |
Dr. Zaiwang Paul Jin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-854-1222 Fax: 631-854-1226 | |
Dr. Frank Wohlsein Telang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 Waverly Ave, Patchogue, NY 11772 Phone: 631-758-6445 Fax: 631-758-6379 | |
Ahmed Elfiky, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Main St, Patchogue, NY 11772 Phone: 631-654-9400 Fax: 631-654-8616 | |
Ali Sayed Aziz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 613-654-7100 | |
Ahmed Imtiaz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |