Active NPIIndividual providerSole proprietor

Leelamma J Mathew, APN

Nurse Practitioner, Adult Health in East Orange, New Jersey

NPI Number1255772562
Practice location
310 Central Ave, 102, East Orange, NJ 07018-2835
Fax
973-395-3711
Last updated
April 28, 2014

Leelamma J Mathew is a Nurse Practitioner, Adult Health based in East Orange, NJ. Leelamma J Mathew practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Leelamma J Mathew is 1255772562 and holds a License No. 26NJ00448400 (NJ). The current practice location address for Leelamma J Mathew is 310 Central Ave, 102, East Orange, NJ 07018-2835 and can be reached out via phone at 973-395-1550 and via fax at 973-395-3711.

Provider Profile Details

NPI Number
1255772562
Provider Name
Leelamma J Mathew
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
310 Central Ave, 102, East Orange, NJ 07018-2835
Phone Number
973-395-1550
Fax Number
973-395-3711
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
July 15, 2013
Last Update Date
April 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Ave
102
East Orange, NJ 07018-2835
Zip
07018-2835
Phone Number
973-395-1550
Fax Number
973-395-3711
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
668 Colonial Arms RD
Union, NJ 07083-7608
City
Union
State
NJ
Zip
07083-7608
Phone Number
908-688-4827

License Information

License Number
26NJ00448400
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Leelamma J Mathew, APN?

The NPI number of Leelamma J Mathew, APN is 1255772562. It was assigned on July 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Leelamma J Mathew, APN?

Leelamma J Mathew, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00448400.

Where does Leelamma J Mathew, APN practice?

The practice location is 310 Central Ave, 102, East Orange, NJ 07018-2835. The office can be reached at 973-395-1550 (phone) or 973-395-3711 (fax).

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 1255772562 directly on the NPPES registry website.

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