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

Mr. Renju Mathew

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194532051

Mr. Renju Mathew is a Nurse Practitioner in Franklin Sq, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

844 Hemlock St
Franklin Sq, NY 11010-4008
Phone: (516) 270-5813
Show map & directions

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

Additional practice locations (1)

  • 521 Bergen Ave Fl 5, Bronx, NY 10455-4010 — (929) 819-9530

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406361 (NY)

Record details

NPI number1194532051
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2024
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare