Mr. Jacob K Mathew

MD | Neurology | 41+ years Exp


  100 Oakland Ave, Suite 4, Port Jefferson
     New York, 11777-2172
  631-476-4780    631-476-4781 Maps & Directions
Mr. Jacob K Mathew is a Port Jefferson, New York based neurologist with 41 years of experience in Neurology. He completed his graduation in 1983. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jacob K Mathew is 196027 for Neurology in New York. His current practice location is 100 Oakland Ave, Suite 4, Port Jefferson. Patients can reach him at 631-476-4780 or can fax him at 631-476-4781. Mr. Jacob K Mathew is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1407857634.
Mr. Jacob K Mathew specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Mr. Jacob K Mathew speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Jacob K Mathew
Specialization: Neurology
Gender:Male
Credentials: MD
Experience: 41+ years
Medical School Attended:Other
Graduation Year:1983
Accepts Medicare Assignment:Yes
Practice Address:100 Oakland Ave, Suite 4, Port Jefferson,
New York, 11777-2172
Phone:631-476-4780
Fax:631-476-4781
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
PAC ID: 1557558079
Enrollment ID: I20101209001199
NPI Number: 1407857634
NPI Enumeration Date: 10 Aug, 2005
NPI Last Update On: 15 Oct, 2014

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jacob K Mathew are as mentioned below.
License NumberSpecializationStateStatus
196027Neurology New YorkPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(330185)Port jefferson, NYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Jacob K Mathew is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
City Medical Of Upper East Side Pllc (0648465039)750
Medex Diagnostic And Treatment Center Llc (1456336445)31
Premier Healthcare Inc (1254233158)55
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jacob K Mathew such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
01494779MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Jacob K Mathew
100 Oakland Ave, Suite 4
Port Jefferson, New York
Zip: 11777-2172
Phone Number: 631-476-4780
Fax Number: 631-476-4781
Patients can reach Mr. Jacob K Mathew at 100 Oakland Ave, Suite 4, Port Jefferson, New York or can call to book an appointment on 631-476-4780.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.