Active NPI
Alexander Matsikas, PHARM.D
- Pharmacist
- Flushing, NY
National Provider Identifier
1669654703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051959
- Practice address
- 16103 29TH Ave
Flushing, NY 11358-1049 - Phone
- (718) 767-2400
- NPI assigned
- Nov 30, 2007
- 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 | 051959 | NY | Primary |
Addresses
Primary practice location
16103 29TH Ave
Flushing, NY 11358-1049
Mailing address
178 New Hyde Park Rd
Franklin Square, NY 11010-3012
Phone (516) 775-4294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00703324 | Medicaid | NY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051959 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Consultants LLC | Current | Accepting new patients | |
| Pelham City Pharmacy Inc | Current | Accepting new patients | |
| Nitin Mariwalla MD PLLC | Current | Accepting new patients | |
| Bowne Chemists LLC. | Past | Accepting new patients |
Locations
16103 29th Ave
Flushing, NY 11358
Phone (718) 767-2400
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1295372795
-
- Neurological Surgery Physician
- West Islip, NY
- NPI 1659943942
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1972233195
-
- Pharmacy
- Flushing, NY
- NPI 1598176935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1669654703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 NEW HYDE PARK RD",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103012",
"telephone_number": "516-775-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16103 29TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581049",
"telephone_number": "718-767-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSIKAS",
"first_name": "ALEXANDER",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00703324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.