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

Nimmy Mathew

Individual provider Hospitalist Physician · NPI 1124512843

Nimmy Mathew is a Hospitalist in Salisbury, Maryland. Qualified in 2016, 10 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
10
Licensed in
MD, PA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (908) 583-3551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence D0091078 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT215065 (PA)

Record details

NPI number1124512843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2018
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address171 E Lincoln Ave, Roselle Park, NJ 07204-1705

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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