DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB K MATHEW, MD

Active Sole Proprietor

MR. JACOB K MATHEW, MD is a Neurology healthcare provider located in PORT JEFFERSON, New York. NPI 1407857634 is currently active in the NPPES registry. Verify at CMS.

Neurology · PORT JEFFERSON, NY

Registration Details

NPI Number
1407857634
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2005 (20.828109888001 yrs)
Last Updated
Oct 15, 2014
License
196027 (NY)
Sole Proprietor
Yes

Practice Information

Address
100 OAKLAND AVE
SUITE 4
PORT JEFFERSON, NY, 117772172
Browse NY providers · Browse ZIP 11777
Phone
6314764780
Fax
6314764781
Primary Specialty
Neurology
2084N0400X

Other Neurology Providers in PORT JEFFERSON, NY

Name Credential NPI
DINESH SHUKLA MD 1033102280
DR. DAVID ANSCHEL M.D. 1689620387
DR. CHRISTOPHER M SINCLAIR M.D. 1205987351
DR. ANNA LESKIV M.D. 1770801920
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.