Active NPIIndividual provider

Mr. Jacob Mathew, PA-C

Physician Assistant in Pennington, New Jersey

NPI Number1033319843
Practice location
2 Capital Way Ste 456, Pennington, NJ 08534-2521
Fax
—
Last updated
April 26, 2021

Jacob Mathew is a Physician Assistant based in Pennington, NJ. Jacob Mathew practices in Pennington, NJ and has the professional credentials of PA-C. The NPI Number for Jacob Mathew is 1033319843 and holds a License No. MA051581 (PA). The current practice location address for Jacob Mathew is 2 Capital Way Ste 456, Pennington, NJ 08534-2521 and can be reached out via phone at 609-537-7300.

Provider Profile Details

NPI Number
1033319843
Provider Name
Jacob Mathew
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2 Capital Way Ste 456, Pennington, NJ 08534-2521
Phone Number
609-537-7300
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2007
Last Update Date
April 26, 2021
Certification Date
April 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Capital Way Ste 456
Pennington, NJ 08534-2521
Zip
08534-2521
Phone Number
609-537-7300
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
2 Capital Way Ste 456
Pennington, NJ 08534-2521
City
Pennington
State
NJ
Zip
08534-2521
Phone Number
609-537-7300

License Information

License Number (1)
MA051581
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00158900
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
25MP00158900
License State (3)
NJ
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jacob Mathew, PA-C?

The NPI number of Mr. Jacob Mathew, PA-C is 1033319843. It was assigned on July 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jacob Mathew, PA-C?

Mr. Jacob Mathew, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA051581.

Where does Mr. Jacob Mathew, PA-C practice?

The practice location is 2 Capital Way Ste 456, Pennington, NJ 08534-2521. The office can be reached at 609-537-7300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033319843 directly on the NPPES registry website.

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