Active NPIIndividual provider

Siju Mathew, CRNA

Nurse Anesthetist, Certified Registered in Montclair, New Jersey

NPI Number1558759191
Practice location
1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837
Fax
845-547-0740
Last updated
May 26, 2015

Siju Mathew is a Nurse Anesthetist, Certified Registered based in Montclair, NJ. Siju Mathew practices in Montclair, NJ and has the professional credentials of CRNA. The NPI Number for Siju Mathew is 1558759191 and holds a License No. 26NR15938100 (NJ). The current practice location address for Siju Mathew is 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6219 and via fax at 845-547-0740.

Provider Profile Details

NPI Number
1558759191
Provider Name
Siju Mathew
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837
Phone Number
973-429-6219
Fax Number
845-547-0740
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
January 6, 2015
Last Update Date
May 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Anesthesia Office
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-429-6219
Fax Number
845-547-0740
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
100 Route 59
Suite 105
Suffern, NY 10901-4927
City
Suffern
State
NY
Zip
10901-4927
Phone Number
845-357-5775
Fax Number
845-357-5777

License Information

License Number (1)
26NR15938100
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00554700
License State (2)
NJ
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · 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 Siju Mathew, CRNA?

The NPI number of Siju Mathew, CRNA is 1558759191. It was assigned on January 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Siju Mathew, CRNA?

Siju Mathew, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NR15938100.

Where does Siju Mathew, CRNA practice?

The practice location is 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837. The office can be reached at 973-429-6219 (phone) or 845-547-0740 (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 1558759191 directly on the NPPES registry website.

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