Mathew, Jacob K
Mathew, Jacob K is an sole proprietor health care provider with primary practice located at 100 Oakland Ave Suite 4, Port Jefferson NY 11777-2172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mathew, Jacob K can be contacted via phone (631) 476-4780.Contact Information
Primary practice address
100 Oakland Ave Suite 4
Port Jefferson NY 11777-2172
Phone: (631) 476-4780
Fax: (631) 476-4781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 196027 | New York |
Profile Details
| NPI number | 1407857634 |
|---|---|
| LBN Legal business name | Mathew, Jacob K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Oct 15th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407857634 | NPPES |
| New York | MEDICAID | 01494779 |
Popular Providers
-
D'Cruz, Arvind Alex
951 N Washington Ave Pmg. Hospitalist.Neurology Dept, Titusville FL 32796-2163 -
Kazi, Amer M.
6915 N Fir Rd , Granger IN 46530-4754 -
Spinner, Warren Daniel
5 Medical Dr , Port Jefferson Station NY 11776-1601 -
Leskiv, Anna
70 N Country Rd Suite 102, Port Jefferson NY 11777-2161 -
Roth, Robert G
120 N Country Rd , Port Jefferson NY 11777-2604 -
Liedke, Maryana
1010 Route 112 Ste 300 , Port Jefferson Station NY 11776-3386 -
Hershkowitz, Leonard
7500 Beechnut St Ste 135, Houston TX 77074-4335 -
Anschel, David
200 Belle Terre Rd , Port Jefferson NY 11777-1928