JAY S MATHUR (DO) – Internal Medicine Physician, NPI 1609192608
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
18,056 INTERNAL MEDICINE in NY
Provider Addresses for JAY S MATHUR (DO)
4 SHAWNEE TRL
HARRISON, NY 105281812
Phone: (609) 585-1122
Fax: (609) 585-0309
Type: Mailing
101 THEALL RD
RYE, NY 105801406
Phone: (609) 585-1122
Fax: (609) 585-0309
Type: Location
787 King St
Port Chester, NY 105731225
Phone: (609) 585-1122
Fax: (609) 585-0309
Type: Location
PO BOX 639295
CINCINNATI, OH 452639295
Phone: (484) 346-1692
Fax: (588) 618-6655
Type: Mailing
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 113757211
Phone: (646) 722-7610
Fax: (347) 535-3970
Type: Location
Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States
CERRITOS, CA 907039329
Phone: (562) 977-4639
Fax: (562) 741-4479
Type: Mailing
444, Foxon Road, Foxon, East Haven, South Central Connecticut Planning Region, Connecticut, 06512, United States
EAST HAVEN, CT 065132037
Phone: (475) 227-0511
Fax: (475) 238-6372
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111019000864 | I | Internal Medicine | CT | TBD |
| I20131021001868 | I | Internal Medicine | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 10528)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine | TN | |
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| Hospitalist, Internal Medicine | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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