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JOEL PUTHENPURACKAL MATHEW
NPI 1679276513
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since March 22, 2023PECOS Enrolled
301 E MAIN ST, BAY SHORE, NY 11706(631) 894-5934 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joel Puthenpurackal Mathew NPPES

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

JOEL PUTHENPURACKAL MATHEW (NPI 1679276513) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679276513
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOEL PUTHENPURACKAL MATHEW
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 894-5934
Phone(631) 894-5934
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1679276513 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
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.
301 E MAIN ST, Bay Shore, NY 11706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Puthenpurackal Mathew 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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Joel Mathew's NPI number?

The NPI number for Joel Mathew is 1679276513. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Joel Mathew located?

Joel Mathew practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 894-5934.

What is Joel Mathew's specialty?

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

Is Joel Mathew enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joel Mathew was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.