Active NPI
Robert Mattera, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1275858136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037178
- Practice address
- 710 Metropolitan Ave
Brooklyn, NY 11211-6714 - Phone
- (718) 387-0124
- Fax
- (718) 387-0946
- NPI assigned
- Apr 5, 2010
- Last updated
- Apr 10, 2025
- 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 | 037178 | NY | Primary |
Addresses
Primary practice location
710 Metropolitan Ave
Brooklyn, NY 11211-6714
Mailing address
335 Graham Avenue
Brooklyn, NY 11211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037178 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham RX Corp | Current | Accepting new patients |
Locations
335 Graham Ave
Brooklyn, NY 11211
Phone (718) 246-4100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1275858136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 GRAHAM AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 METROPOLITAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116714",
"telephone_number": "718-387-0124",
"fax_number": "718-387-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTERA",
"first_name": "ROBERT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.