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

Siju Mathew, CRNA

Individual provider Registered Nurse · NPI 1558759191

Siju Mathew, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Montclair, New Jersey. Qualified in 2014, 12 years ago. Practices with New Jersey Healthcare Specialists PC, a 573-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Bay Ave Anesthesia Ofc
Montclair, NJ 07042-4837
Phone: (973) 429-6219
Fax: (845) 547-0740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ00554700 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR15938100 (NJ)

Record details

NPI number1558759191
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESMay 26, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice New Jersey Healthcare Specialists Pc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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