PUTHENPURAKAL K MATHEW MD NPI 1831141670

NPI Information

NPI: 1831141670
Provider Name: PUTHENPURAKAL K MATHEW, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1561 LONG POND ROAD
SUITE 401
ROCHESTER, NY
ZIP 14626
Phone: (585) 723-7872
Get Directions

Puthenpurakal K Mathew, MD is a cardiovascular disease internal medicine in Rochester, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Puthenpurakal K Mathew, MD NPI is 1831141670. 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:

1561 LONG POND ROAD
SUITE 401
ROCHESTER, NY
ZIP 14626
Phone: (585) 723-7872
Fax: (585) 723-7236

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2007.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	113601	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00458315	MEDICAID	NEW YORK
2	DD3074	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	70008A GROUP
3	1136019WCIMCD	OTHER		WORKER'S COMPENSATION
4	C58318	MEDICARE UPIN
5	RA0333	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	BA0017 GROUP

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: 4/28/2024

NPI Synchronization or Removal

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