1295700276 NPI number — DR. SILVY EMMANUEL MATHEW MD

Table of content: DR. SILVY EMMANUEL MATHEW MD (NPI 1295700276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295700276 NPI number — DR. SILVY EMMANUEL MATHEW MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATHEW
Provider First Name:
SILVY
Provider Middle Name:
EMMANUEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295700276
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 S HIGHLAND AVE
Provider Second Line Business Mailing Address:
SUITE 10
Provider Business Mailing Address City Name:
OSSINING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10562-5634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-762-1486
Provider Business Mailing Address Fax Number:
914-762-1166

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 S HIGHLAND AVE
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
OSSINING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10562-5634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-762-1486
Provider Business Practice Location Address Fax Number:
914-762-1166
Provider Enumeration Date:
02/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  198743 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01733715 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: A300105919 . This is a "MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com