Provider Demographics
NPI:1710312848
Name:MATHEW, SAINO (APN)
Entity Type:Individual
Prefix:MRS
First Name:SAINO
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SAINO
Other - Middle Name:
Other - Last Name:VARKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:418 N 13TH ST
Mailing Address - Street 2:APT # 1
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1384
Mailing Address - Country:US
Mailing Address - Phone:973-688-8305
Mailing Address - Fax:
Practice Address - Street 1:418 N 13TH ST
Practice Address - Street 2:APT # 1
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1384
Practice Address - Country:US
Practice Address - Phone:973-688-8305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00444900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health