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ALEXANDRA MARIE MATHEWS PA-C NPI 1518358811


NPI Information

NPI: 1518358811
Provider Name: ALEXANDRA MARIE MATHEWS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2835 MIDDLE COUNTRY RD
LAKE GROVE, NY
ZIP 11755
Phone: (631) 467-3564
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Alexandra Marie Mathews, PA-C is a medical physician assistant in Lake Grove, NY with 10 years of experience. Alexandra Marie Mathews, PA-C NPI is 1518358811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HACKENSACK MERIDIAN SCHOOL OF MED AT SETON HALL
Graduation Year:2014

The provider's business location address is:

2835 MIDDLE COUNTRY RD
LAKE GROVE, NY
ZIP 11755-105
Phone: (631) 467-3564
Fax: (631) 471-2236

The NPI 1518358811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 5/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical018422NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.