MEDICARE: DR. ALEX MATHEW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	265603	NY

General Provider Information

NPI Number	:	1801026554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX MATHEW MD

Provider Business Mailing Address
First Line	:	1575 HILLSIDE AVENUE
Second Line	:	SUITE 103
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:	631-638-4170

Provider Business Practice Location Address
First Line	:	1575 HILLSIDE AVENUE
Second Line	:	SUITE 103
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040
Country	:	US
Telephone Number	:	516-352-1804
Fax Number	:	516-352-1449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2009
Last Update Date	:	03/17/2026

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