IndividualActive
Gennadiy Matatov, PHARM. D.
NPI 1295057552 · Pharmacist · Bronx, NY
Gennadiy Matatov, PHARM. D. is a Pharmacist provider in Bronx, NY (NPI 1295057552).
Provider details
- NPI number
- 1295057552
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Male
- Sole proprietor
- No
- License
- 048673 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
781 Lydig Ave
Bronx, NY 10462-2144
Phone: (718) 822-1348
Fax: (718) 822-1792
Street-level locationGet directions
Mailing address
13957 Pershing Cres
Briarwood, NY 11435-1944
Registry dates
- Enumerated
- 2010-02-26
- Last updated
- 2010-02-26
Frequently asked questions
- What is Gennadiy Matatov's NPI number?
- Gennadiy Matatov's National Provider Identifier (NPI) is 1295057552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gennadiy Matatov's specialty?
- Gennadiy Matatov is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Gennadiy Matatov located?
- Gennadiy Matatov's practice location on file with NPPES is 781 Lydig Ave, Bronx, NY 10462-2144.
- What is Gennadiy Matatov's phone number?
- The practice phone number listed in the NPPES registry for Gennadiy Matatov is (718) 822-1348.
- Is Gennadiy Matatov's NPI active?
- Yes — Gennadiy Matatov's NPI (1295057552) is active in the NPPES registry as of the last update on 2010-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.