Individual provider · Type 1 NPI

Jacob K. Mathew, MD

Neurology Physician · Patchogue, NY

NPI number 1407857634 Active

Practice location

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

Fax (631) 654-1474

Mailing address

100 Oakland Ave, Suite 4
Port Jefferson, NY 11777-2172

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X196027 (NY)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1407857634

Jacob K. Mathew, MD's National Provider Identifier is 1407857634, issued on Aug 10, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Patchogue, NY. The record was last updated on Mar 9, 2026.