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

Mr. Jeevan M Mathew, DPT

Individual provider Physical Therapist · NPI 1750620944

Mr. Jeevan M Mathew, DPT is a Physical Therapist in Private Practice in Newark, New Jersey. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

500 0RANGE St Ste 2
Newark, NJ 07107
Phone: (845) 596-9031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01478100 (NJ)

Record details

NPI number1750620944
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 7, 2013
Last updated in NPPESOctober 13, 2015
Mailing address2 Ewald Pl, Stony Point, NY 10980-2611

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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