Active NPI
Erik J Jodelka, PHARMD
- Pharmacist
- Oakhurst, NJ
National Provider Identifier
1003103946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02981000
- Practice address
- 1915 Highway 35
Oakhurst, NJ 07755-2771 - Phone
- (732) 531-3784
- Fax
- (732) 531-7909
- NPI assigned
- Jun 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02981000 | NJ | Primary |
| Pharmacist | 183500000X | 055559-1 | NY |
Addresses
Primary practice location
1915 Highway 35
Oakhurst, NJ 07755-2771
Mailing address
391 Beecroft PL
Oakhurst, NJ 07755-1227
Phone (732) 688-0297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02981000 | NJ | MD | Pharmacist |
| 055559-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1003103946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 BEECROFT PL",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077551227",
"telephone_number": "732-688-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 HIGHWAY 35",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077552771",
"telephone_number": "732-531-3784",
"fax_number": "732-531-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JODELKA",
"first_name": "ERIK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02981000",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055559-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.