KEVIN MATHEW
NPI 1023801024
Physician Assistant - Medical in Englewood, NJ

Active since May 23, 2025PECOS Enrolled
500 GRAND AVE, ENGLEWOOD, NJ 07631(201) 567-2277 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Mathew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN MATHEW (NPI 1023801024) is an individual medical provider in Englewood, New Jersey and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023801024
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN MATHEW
Location Address500 GRAND AVEEnglewood, NJ 07631-4967
Mailing Address2 Newman PlEast Hanover, NJ 07936-3041 · (973) 494-2791
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
NPI 1023801024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
500 GRAND AVE, Englewood, NJ 07631

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Mathew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587168133
PECOS Enrollment IDI20250922002373
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
500 GRAND AVE
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE, FIRST FLOOR
ENGLEWOOD, NJ 07631
Orthopaedic Surgery
500 GRAND AVE
ENGLEWOOD, NJ 07631
Occupational Therapist
500 GRAND AVE, 1FLOOR
ENGLEWOOD, NJ 07631
Orthopaedic Surgery
500 GRAND AVE
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE, FIRST FLOOR
ENGLEWOOD, NJ 07631
Orthopaedic Surgery
500 GRAND AVE
ENGLEWOOD, NJ 07631
Physical Therapist
500 GRAND AVE, FIRST FLOOR
ENGLEWOOD, NJ 07631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mathew's NPI number?

The NPI number for Kevin Mathew is 1023801024. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Kevin Mathew located?

Kevin Mathew practices at 500 Grand Ave, Englewood, NJ 07631. The listed phone number is (201) 567-2277.

What is Kevin Mathew's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Mathew enrolled in Medicare?

Yes. Kevin Mathew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mathew was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.