Individual
NISHA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7993
(203) 276-7020
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7993
(203) 276-7020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017233
NY
363AS0400X
Surgical Physician Assistant
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03875725
—
NY
01
—
A400101342
MEDICARE PTAN
NY
Enumeration date
03/17/2014
Last updated
02/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us