Active NPI
Mathew Joseph Moretti, PHARMD
- Pharmacist
- Port Jefferson, NY
National Provider Identifier
1174433577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 074453
- Practice address
- 75 N Country Rd
Port Jefferson, NY 11777-2190 - Phone
- (631) 473-1320
- NPI assigned
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 074453 | NY | Primary |
Addresses
Primary practice location
75 N Country Rd
Port Jefferson, NY 11777-2190
Mailing address
28 Annuskemunnica Rd
Babylon, NY 11702-4401
Phone (631) 918-0654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1174433577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ANNUSKEMUNNICA RD",
"city": "BABYLON",
"state": "NY",
"postal_code": "117024401",
"telephone_number": "631-918-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N COUNTRY RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772190",
"telephone_number": "631-473-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETTI",
"first_name": "MATHEW",
"middle_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "074453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.