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ALICE MATHEW D.O.
NPI 1881129385
Internal Medicine in Jersey City, NJ

Active since April 22, 2017PECOS Enrolled
91.25/100
CMS Quality Rating
355 GRAND ST, JERSEY CITY, NJ 07302(201) 915-2160 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2024, Jul 14, 2021, Apr 22, 2017 (3 updates tracked since 2017).

About Alice Mathew D.o. NPPES

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

ALICE MATHEW D.O. (NPI 1881129385) is an individual internal medicine provider in Jersey City, New Jersey, licensed in Florida (OS22265) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2017).

NPPES Registry Identity

NPI1881129385
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALICE MATHEWCredential: D.O.
Location Address355 GRAND STJersey City, NJ 07302-4321
Mailing Address1202 Golf Meadow BlvdValrico, FL 33596-7297 · (813) 482-4931
Phone(201) 915-2160
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2017
Enumeration DateApril 22, 2017
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1881129385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · OS22265✔ Licensed in NY · 304919✔ Licensed in NJ · 25MB11977200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
355 GRAND ST, Jersey City, NJ 07302
Open in Google Maps ↗

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022387737
PECOS Enrollment IDI20251009001438
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Alice Mathew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
18 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Cs Pacs 3 Southeast, LLC
453 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Inpatient Consultants Of Florida, Inc
846 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909
Florida Post Acute Medical Services 1 PA
1,000 mi
Hospitalist
2730 W WILDER AVE
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
NPI 1255862439 (813) 766-4018
Ca Pacs 2 Medical Group Inc
2,557 mi
Hospitalist
14766 WASHINGTON AVE
San Leandro, CA 94578
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
NPI 1801372669 (865) 693-1000

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
451 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
121 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services96 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims18 services$68.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims16 services$35.75 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier26 claims26 services$10.29 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier17 claims17 services$6.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JERSEY CITY CRITICAL CARE ASSOCIATES
Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (908) 806-8224
SHERIDAN ANESTHESIA SERVICES OF NEW JERSEY PC
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SAIRA SHAH MD
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SUSAN E. O'BRIEN DO
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
DR. JARED SAUL KROK M.D.
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2431
ANIELLO SEMIOLI LSW
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 492-1296
SUMEETA BHOGAL MD
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
LIBERTY EMERGENCY MEDICAL ASSOCIATES LLC
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302
Hudson County (469) 401-2386

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 Alice Mathew's NPI number?

The NPI number for Alice Mathew is 1881129385. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Where is Alice Mathew located?

Alice Mathew practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2160.

What is Alice Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alice Mathew enrolled in Medicare?

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

Which organizations bill Medicare for Alice Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Mathew reassigns Medicare benefits to 5 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Inpatient Consultants Of Florida, Inc (Orange Park, FL), Florida Post Acute Medical Services 1 PA (Tampa, FL) and Ca Pacs 2 Medical Group Inc (San Leandro, CA). Each 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 Alice Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Mathew accept?

Health plans from Oscar Health list Alice 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 Alice Mathew was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.