Jacob K. Mathew, MD

Neurology Physician · Patchogue, NY

Individual Active NPI

NPI number 1407857634

Practice location

475 E Main St Ste 205
Patchogue, NY 11772-3121
Phone
(631) 394-2550
Fax
(631) 654-1474

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NPI record

NPI
1407857634
Entity type
Individual (Type 1)
Enumeration date
August 10, 2005
Last updated
March 9, 2026
Certified
March 9, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurology Physician Primary 2084N0400X 196027 NY

Mailing address

100 Oakland Ave
Suite 4
Port Jefferson, NY 11777-2172
Phone
(631) 476-4780
Fax
(631) 476-4781

About Dr. Mathew

Jacob K. Mathew, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 475 E Main St Ste 205, Patchogue, NY 11772-3121. The NPI number 1407857634 was assigned on August 10, 2005 and the record was last updated on March 9, 2026.

Dr. Mathew lists a license in the registry: #196027 (NY) for Neurology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob K. Mathew, MD?

The NPI number is 1407857634.

What is the phone number of Dr. Mathew?

The phone number listed for the practice location is (631) 394-2550.

Where is Dr. Mathew located?

475 E Main St Ste 205, Patchogue, NY 11772-3121.

What is the taxonomy code for Dr. Mathew?

The primary taxonomy code is 2084N0400X – Neurology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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