Rafail B Matatov, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

047049 Issued in NY

Practice address

2818 Fulton St
Brooklyn, NY 11207-2608

Phone

(718) 235-6394

Fax

(718) 894-3903

NPI assigned

Mar 31, 2008

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.

• 2818 Fulton Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1174399844
  NPD Authorized official
• 2818 Fulton Street Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1972518595
  NPD

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1972775989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072608",
            "telephone_number": "718-235-6394",
            "fax_number": "718-894-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072608",
            "telephone_number": "718-235-6394",
            "fax_number": "718-894-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATATOV",
        "first_name": "RAFAIL",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Matalon
• Sandra Matano, MD
• Michael Matasci, LCSW
• David Matatov
• Elli Jacob Matatov
• Valeriy A Matatov, M.D.
• Irina Matatova, FNP
• Roza Matatova
• Yelena Matatova
• Mataybo Medical PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.