Igor Matatov, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

055993 Issued in NY

Practice address

8622 Jamaica Ave
Woodhaven, NY 11421-2005

Phone

(718) 441-7111

NPI assigned

Sep 23, 2011

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Woodhaven Chemist Corp.

  • Long Term Care Pharmacy
  • Woodhaven, NY
  • NPI 1144038803
  NPD Authorized official
• Woodhaven Chemist Corp.

  • Community/Retail Pharmacy
  • Woodhaven, NY
  • NPI 1518447861
  NPD Authorized official
• Duane Reade

  dba Duane Reade #15940

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)
• Duane Reade

  dba Duane Reade #14375

  • Pharmacy
  • New York, NY
  • NPI 1871519991
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1629351861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212005",
            "telephone_number": "718-441-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212005",
            "telephone_number": "718-441-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATATOV",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanni Marciano, DO
• Joy Margulies, R.N.
• Shalimar Mariano, PT
• Leslie Martinez, M.S. ED/ SP ED
• Maria Teresa Martinez, LSW
• Ruperto Maura, L.M.T.
• Fernande Mazile, FNP
• Crystal Mendez, OTR/L
• Metropolitan Dentistry P.C.
• Metrosound Audiology PC. (Universal Hearing Centers)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.