Active NPIIndividual provider

Jesvin Mathew, FNP

Nurse Practitioner, Family in Mahwah, New Jersey

NPI Number1043600117
Practice location
10 Franklin Tpke, Mahwah, NJ 07430-1304
Fax
—
Last updated
September 28, 2020

Jesvin Mathew is a Nurse Practitioner, Family based in Mahwah, NJ. Jesvin Mathew practices in Mahwah, NJ and has the professional credentials of FNP. The NPI Number for Jesvin Mathew is 1043600117 and holds a License No. 345857 (NY). The current practice location address for Jesvin Mathew is 10 Franklin Tpke, Mahwah, NJ 07430-1304 and can be reached out via phone at 201-529-0033.

Provider Profile Details

NPI Number
1043600117
Provider Name
Jesvin Mathew
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
10 Franklin Tpke, Mahwah, NJ 07430-1304
Phone Number
201-529-0033
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2015
Last Update Date
September 28, 2020
Certification Date
September 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Franklin Tpke
Mahwah, NJ 07430-1304
City
Mahwah
Zip
07430-1304
Phone Number
201-529-0033
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
20 Grand St Fl 3
Warwick, NY 10990-1035
City
Warwick
State
NY
Zip
10990-1035
Phone Number
845-353-5600
Fax Number
845-987-5979

License Information

License Number (1)
345857
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
26NJ00549800
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

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 Jesvin Mathew, FNP?

The NPI number of Jesvin Mathew, FNP is 1043600117. It was assigned on January 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Jesvin Mathew, FNP?

Jesvin Mathew, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 345857.

Where does Jesvin Mathew, FNP practice?

The practice location is 10 Franklin Tpke, Mahwah, NJ 07430-1304. The office can be reached at 201-529-0033 (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 1043600117 directly on the NPPES registry website.

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