Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Prakash Joel Mathew, MD, MBA

Individual provider Plastic Surgery Physician · NPI 1356698013

Dr. Prakash Joel Mathew, MD, MBA is a Plastic and Reconstructive Surgery in Phildelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Spruce St
Phildelphia, PA 19104-4206
Phone: (215) 662-2096
Fax: (215) 349-5895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Route 73 N Uppr Levelb, Marlton, NJ 08053-4524 — (856) 355-7137

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD473789 (PA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 25MA11102600 (NJ)

Record details

NPI number1356698013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedAugust 12, 2012
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount