Nick Mathew, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03303000 Issued in NJ

Practice address

17 Belleville Ave
Bloomfield, NJ 07003-5220

Phone

(973) 429-7407

NPI assigned

Sep 27, 2011

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 and National Provider Directory roles.

• Walgreen Eastern Co, Inc

  • Pharmacy
  • Bloomfield, NJ
  • NPI 1629083605
  NPD (past)
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1811270788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HUDSON ST",
            "address_2": "APT 811",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305855",
            "telephone_number": "201-888-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035220",
            "telephone_number": "973-429-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "NICK",
        "name_prefix": "Mr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03303000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia D Martinez
• Ricardo Martinez, PHD
• Abanoab Gamal Habib Masry, PHARMD, BCPS
• Lauren Mastrobuoni, ATC
• Scott Carmine Masullo Sr., NP
• Moya Mathison, LPC
• Cheryl Matos
• Matthew J. Deluca, M.D., P.a.
• Calvin C Matthews, M.D.
• Dean Matturro, DC

• Pharmacist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.