Wardah Mateen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

070410 Issued in NY

Practice address

5369 Kings Hwy
Brooklyn, NY 11203-6704

Phone

(800) 203-6282

Fax

(929) 474-9097

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1306525316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 UNION AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293121",
            "telephone_number": "516-547-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5369 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036704",
            "telephone_number": "800-203-6282",
            "fax_number": "929-474-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEEN",
        "first_name": "WARDAH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF EDUCATION",
            "identifier": "070410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mataybo Medical PLLC
• Gulya Matayeva
• Mira Matayeva, PHARM.D.
• Maia Matcharashvili
• Neil Robert Mate, D.D.S.
• Gabriela Isabel Mateo
• Jhossanna Mateo
• Pedro Mateo, D.D.S.
• Adriana Mateoc, MD
• Danielle Christina Matera

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.