Active NPIIndividual providerSole proprietor

Jaine E Mathew, DDS

Dentist in Nanuet, New York

NPI Number1205142775
Practice location
30 Klint CT, Nanuet, NY 10954-5940
Fax
—
Last updated
February 6, 2026

Jaine E Mathew is a Dentist based in Nanuet, NY. Jaine E Mathew practices in Nanuet, NY and has the professional credentials of DDS. The NPI Number for Jaine E Mathew is 1205142775 and holds a License No. 055189-1 (NY). The current practice location address for Jaine E Mathew is 30 Klint CT, Nanuet, NY 10954-5940 and can be reached out via phone at 845-558-6886.

Provider Profile Details

NPI Number
1205142775
Provider Name
Jaine E Mathew
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
30 Klint CT, Nanuet, NY 10954-5940
Phone Number
845-558-6886
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2010
Last Update Date
February 6, 2026
Certification Date
February 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Klint CT
Nanuet, NY 10954-5940
City
Nanuet
Zip
10954-5940
Phone Number
845-558-6886
Nanuet, NY 10954Get directions →

Provider Business Mailing Address Details

Address
30 Klint CT
Nanuet, NY 10954-5940
City
Nanuet
State
NY
Zip
10954-5940
Phone Number
845-558-6886

License Information

License Number (1)
055189-1
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
22DI02478600
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X

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 Jaine E Mathew, DDS?

The NPI number of Jaine E Mathew, DDS is 1205142775. It was assigned on August 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Jaine E Mathew, DDS?

Jaine E Mathew, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 055189-1.

Where does Jaine E Mathew, DDS practice?

The practice location is 30 Klint CT, Nanuet, NY 10954-5940. The office can be reached at 845-558-6886 (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 1205142775 directly on the NPPES registry website.

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