1. Home
  2. Directory
  3. New York
  4. Valley Stream
  5. Nurse Practitioner
  6. NPI Profile

JISHA MERIN MATHEW MS, FNP-BC
NPI 1700377934
Nurse Practitioner - Family in Valley Stream, NY

Active since May 23, 2018PECOS Enrolled
1835 OLIVER AVE, APT 4, VALLEY STREAM, NY 11580(347) 972-7207 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2022, May 23, 2018 (2 updates tracked since 2018).

About Jisha Merin Mathew Ms, Fnp-bc NPPES

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

JISHA MERIN MATHEW MS, FNP-BC (NPI 1700377934) is an individual family provider in Valley Stream, New York, licensed in New York (342567) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700377934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJISHA MERIN MATHEWCredential: MS, FNP-BC
Location Address1835 OLIVER AVE, APT 4Valley Stream, NY 11580
Mailing Address1468 Madison AveNew York, NY 10029-6508 · (212) 241-6639
Phone(347) 972-7207
Sole ProprietorNo
Enumeration DateMay 23, 2018
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
✔ NPI 1700377934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 342567
1835 OLIVER AVE, Valley Stream, NY 11580
Open in Google Maps ↗

Other Identifiers 1

Other2018000509NY · Ancc Fnpbc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jisha Merin Mathew Ms, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jisha Mathew's NPI number?

The NPI number for Jisha Mathew is 1700377934. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Jisha Mathew located?

Jisha Mathew practices at 1835 Oliver Ave Apt 4, Valley Stream, NY 11580. The listed phone number is (347) 972-7207.

What is Jisha Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jisha Mathew enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jisha Mathew was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.