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

Individual provider Physician Assistant · NPI 1710258496

Mathew Pathrose, PA is a Physician Assistant in Bronx, New York. Qualified in 2011, 15 years ago. Practices with Heritage Health and Housing, Inc, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 E 210th St Ste 020
Bronx, NY 10467-2401
Phone: (718) 920-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710258496
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 26, 2012
Last updated in NPPESSeptember 6, 2013
Mailing address53 Gilmore Dr, Stony Point, NY 10980-1045

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Heritage Health And Housing, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bronx