LIJU MATHEW NPI 1477948578

NPI Information

  • NPI: 1477948578
  • Provider Name: LIJU MATHEW
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3257 N 6TH ST
    PHILADELPHIA, PA
    ZIP 19140
  • Phone: (215) 634-3976

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NPI Details

Liju Mathew is a psychiatric/mental health nurse practitioner in Philadelphia, PA. Liju Mathew NPI is 1477948578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3257 N 6TH ST
PHILADELPHIA, PA
ZIP 19140-644
Phone: (215) 634-3976

The NPI 1477948578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2015 and was last updated on 5/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NR16635300NEW JERSEYNo
2363LF0000XNurse PractitionerFamilySP014671PENNSYLVANIANo
3363LF0000XNurse PractitionerFamily26NJ00578100NEW JERSEYNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ00578100NEW JERSEYNo
5363LP2300XNurse PractitionerPrimary Care26NJ00578100NEW JERSEYNo
6363LP2300XNurse PractitionerPrimary CareSP014671PENNSYLVANIANo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthSP027204PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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