Individual ProviderAnitha Mathew MeenamgattuRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 464-7500(516) 270-7381PECOS EnrollmentBased on the most recent information from CMS, provider Anitha Mathew Meenamgattu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750170601Provider TypeIndividualFull NameMeenamgattu, Anitha MathewTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date5/6/2025Last Updated5/6/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 464-7500FaxUnlisted FaxMailing LocationMailing Address74 Landau Ave, Elmont, NY 11003-1918Phone(516) 270-7381FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense613377New York