Abdul Mateen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

063613-1 Issued in NY

Practice address

10962 Francis Lewis Blvd
Queens Village, NY 11429-1723

Phone

(718) 740-4612

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

Practice roles

Locations

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
  • Queens Village, NY
  • NPI 1104831288
  NPD
• 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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1831721828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10962 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291723",
            "telephone_number": "718-740-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10962 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291723",
            "telephone_number": "718-740-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEEN",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063613-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Marzia
• David J Maslansky, D.D.S.
• Diane Mastriano, M TH
• Michael J Mastrototaro
• Violet Matanzo
• Marie M Mathelier
• Thierry Mathelier
• Aleyamma Abraham Mathew
• Annamma Mathew
• Anu Mathew

• Pharmacist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.