Active NPIIndividual provider

Deepa Mathew, DO

Pediatrics, Pediatric Endocrinology in Eatontown, New Jersey

NPI Number1952782096
Practice location
200 Wyckoff RD Ste 4200, Eatontown, NJ 07724-0199
Fax
—
Last updated
March 10, 2025

Deepa Mathew is a Pediatrics, Pediatric Endocrinology based in Eatontown, NJ. Deepa Mathew practices in Eatontown, NJ and has the professional credentials of DO. The NPI Number for Deepa Mathew is 1952782096 and holds a License No. 294354 (NY). The current practice location address for Deepa Mathew is 200 Wyckoff RD Ste 4200, Eatontown, NJ 07724-0199 and can be reached out via phone at 732-935-7143.

Provider Profile Details

NPI Number
1952782096
Provider Name
Deepa Mathew
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
200 Wyckoff RD Ste 4200, Eatontown, NJ 07724-0199
Phone Number
732-935-7143
Primary Taxonomy
Pediatrics, Pediatric Endocrinology · 2080P0205X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2015
Last Update Date
March 10, 2025
Certification Date
March 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Wyckoff RD Ste 4200
Eatontown, NJ 07724-0199
Zip
07724-0199
Phone Number
732-935-7143
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
200 Wyckoff RD Ste 4200
Eatontown, NJ 07724-0199
City
Eatontown
State
NJ
Zip
07724-0199
Phone Number
732-935-7143
Fax Number
732-935-7245

License Information

License Number (1)
294354
License State (1)
NY
Taxonomy (1)
Pediatrics, Pediatric Endocrinology · 2080P0205X
License Number (2)
OS021357
License State (2)
PA
Taxonomy (2)
Pediatrics, Pediatric Endocrinology · 2080P0205X
License Number (3)
25MB12259200
License State (3)
NJ
Taxonomy (3)
Pediatrics, Pediatric Endocrinology · 2080P0205X · 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 Deepa Mathew, DO?

The NPI number of Deepa Mathew, DO is 1952782096. It was assigned on June 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Deepa Mathew, DO?

Deepa Mathew, DO is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in NY under license number 294354.

Where does Deepa Mathew, DO practice?

The practice location is 200 Wyckoff RD Ste 4200, Eatontown, NJ 07724-0199. The office can be reached at 732-935-7143 (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 1952782096 directly on the NPPES registry website.

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