Provider Demographics
NPI:1710012950
Name:MATHEW, NISHA S (MD)
Entity type:Individual
Prefix:DR
First Name:NISHA
Middle Name:S
Last Name:MATHEW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:1600 HADDON AVE FL 6
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3101
Practice Address - Country:US
Practice Address - Phone:856-247-2160
Practice Address - Fax:856-247-2165
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2025-05-20
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Provider Licenses
StateLicense IDTaxonomies
DEC7-0003463207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine