Active NPI
Rupam Desai
- Pharmacist
- Park Ridge, NJ
National Provider Identifier
1043469240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047863
- Practice address
- 24 2ND St
Park Ridge, NJ 07656-1818 - Phone
- (201) 802-9057
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- 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 | 047863 | NY | Primary |
| Pharmacist | 183500000X | RI24016 | NJ |
Addresses
Primary practice location
24 2ND St
Park Ridge, NJ 07656-1818
Mailing address
24 2ND St
Park Ridge, NJ 07656-1818
Phone (201) 802-9057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI24016 | NJ | MD | Pharmacist |
| 047863 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1043469240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 2ND ST",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561818",
"telephone_number": "201-802-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 2ND ST",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561818",
"telephone_number": "201-802-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "RUPAM",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047863",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI24016",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.