Bakul N Matalia, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

031828 Issued in NY

Practice address

126 E Main St Ste 4
East Islip, NY 11730-2600

Phone

(631) 581-9620

Fax

(631) 581-9410

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By 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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851441232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TWIN CT",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821546",
            "telephone_number": "631-567-7177",
            "fax_number": "631-581-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE 4",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-9620",
            "fax_number": "631-581-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALIA",
        "first_name": "BAKUL",
        "middle_name": "N",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah N Marrero
• Fallon Kathleen Martensen
• Shane Thomas Martensen
• Mary Ozegovich LCSW PC
• Suzanne Mason-Grossmann, MHC
• Matthew Colucci P.T.,P.C.
• Melani Ann Maxwell
• Christopher B McCarthy, PHYSICAL THERAPIST
• Patrick John McCarthy I
• Adryan McClaren

• Pharmacist in East Islip, NY
• Providers in East Islip, 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 8, 2007; 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.