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

Shane Korah Mathew, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992384556

Shane Korah Mathew, MD is a Student in an Organized Health Care Education/Training Program in Piscataway, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

675 Hoes Ln W
Piscataway, NJ 08854-8021
Phone: (732) 828-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1992384556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 11, 2021
Certification dateApril 11, 2021
Mailing address5301 Butternut Ridge Dr, Independence, OH 44131-4690

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