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Active NPI 1134836950 Individual Practitioner Female Practitioner

Liby Mathai

Nurse Practitioner - Gerontology • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Liby Mathai is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Hackensack, NJ. Practice services are available at 30 PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519962000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.6 Yrs
State Avg: 7.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Hackensack, NJ (550 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License NJ 26NJ01335300

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Carucci , NP-C

Nurse Practitioner - Adult Health

NPI 1003262064

Nurse Practitioner (Certified)

Jose Deschamps

Emergency Medicine

NPI 1003344920
Dr. Vanisha Patel , MD

Internal Medicine

NPI 1003505744

Doctor of Medicine (M.D.)

NPI 1003565755

Doctor of Medicine (M.D.), Master of Business Administration

Irene Krawczyk , APN

Nurse Practitioner - Pediatrics

NPI 1013556067

Advanced Practice Nurse

Grace Reznikov

Student in an Organized Health Care Education/Training Program

NPI 1013856244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2022

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

📍
Updated Business Mailing Address November 01, 2022

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

👤
Provider Name / Credentials Updated November 01, 2022

Recorded as LIBY MATHAI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Nurse Practitioner (License #26NJ01335300 in NJ)

🟢
Initial NPI Registration & Enumeration November 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134836950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2022
Last Update: November 01, 2022
Sole Proprietor: No

Mailing Address

30 Prospect Ave

Hackensack, NJ 076011915

Phone: 5519962000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.