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Jacob Mathew, MD

NPI 1407857634 · on the registry since 2005 · sole proprietor

Practice

Address: 475 E Main St Ste 205
Patchogue, NY 11772
Phone: (631) 394-2550
Fax: (631) 654-1474
Organisation at this address: Coaching For Life
Seafield Services
Debra Gruda Lcsw Pc
Main St. Med Care Pc
Patchogue Open Mri, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 2084N0400X
2084N0400X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York