ANANDITA MATHUR MD
NPI 1609455658
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Q: What is Anandita Mathur's NPI number?

The NPI number for Anandita Mathur is 1609455658. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Anandita Mathur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anandita Mathur was last updated on April 6, 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.

Active since April 06, 2021PECOS Enrolled

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(408) 390-0529 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anandita Mathur Md NPPES

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

ANANDITA MATHUR MD (NPI 1609455658) is an individual student in an organized health care education/training program in Staten Island, New York, licensed in New York (244202) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609455658

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANANDITA MATHURCredential: MD

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436

Phone(408) 390-0529

Sole ProprietorYes

Enumeration DateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1609455658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NY · 244202

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

475 SEAVIEW AVE, Staten Island, NY 10305

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anandita Mathur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)