Individual provider Active NPI

Raoul Diamantstein, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1285882936
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30136 Issued in NY
Practice address
5006 16TH Ave
Brooklyn, NY 11204-1404
Phone
(718) 633-5770
Fax
(718) 633-5772
NPI assigned
Sep 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30136 NY Primary

Addresses

Primary practice location

5006 16TH Ave
Brooklyn, NY 11204-1404

Mailing address

1430 43Rd St
Brooklyn, NY 11219-1657
Phone (718) 435-4124

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

LicenseStateTypeSpecialty
30136NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lieb Pharmacy Inc CurrentSince Apr 23, 2013 Accepting new patients

Locations

5006 16th Ave
Brooklyn, NY 11204
Phone (718) 633-5770

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1285882936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191657",
            "telephone_number": "718-435-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041404",
            "telephone_number": "718-633-5770",
            "fax_number": "718-633-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTSTEIN",
        "first_name": "RAOUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-07",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "30136",
            "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 Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.