SUNI MATHEW NP
NPI 1265652101
Nurse Practitioner - Adult Health in New York, NY
About Suni Mathew Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNI MATHEW NP (NPI 1265652101) is an individual adult health provider in New York, New York, licensed in New York (303808) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florham Park, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Suni Mathew Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Suni Mathew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley Heights, NJ 07922
- Reassigned Medicare billing, New Jersey enrollment
- 1,184 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Suni Mathew's NPI number?
The NPI number for Suni Mathew is 1265652101. It was assigned to this individual provider in the NPPES registry on April 25, 2007.
Where is Suni Mathew located?
Suni Mathew practices at 560 1st Ave Th-183, New York, NY 10016. The listed phone number is (212) 263-3960.
What is Suni Mathew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Suni Mathew enrolled in Medicare?
Yes. Suni Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Suni Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suni Mathew reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suni Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suni Mathew accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Suni Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Suni Mathew was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Suni Mathew, NP · NPI 1265652101
Adult Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1265652101 (Entity type: Individual)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 303808 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 560 1ST AVE, TH-183, New York, NY 10016-6402
- **Phone:** (212) 263-3960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Summit Medical Group PA (NPI 1942254347, Berkeley Heights, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265652101) · Data from the CMS NPPES public registry.