Organization Active NPI

Tesh II LLC

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1043506827
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00712900 Issued in NJ
Legal business name
TESH II LLC
Practice address
711 Bergen Ave
Jersey City, NJ 07306-4801
Phone
(201) 324-3900
Fax
(201) 324-3970
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed SolaimanNPI 1700092210
Title
Partner
Phone
(551) 358-4841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00712900 NJ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

711 Bergen Ave
Jersey City, NJ 07306-4801

Mailing address

711 Bergen Ave
Jersey City, NJ 07306-4801
Phone (201) 324-3900

Other identifiers 1

IdentifierTypeStateIssuer
2130815OtherPK

Other names 1

  • New Horizon Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141020000073 NJ Part B Supplier - Pharmacy 9739346693 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

711 Bergen Ave
Jersey City, NJ 07306
Phone (201) 324-3900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1043506827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064801",
            "telephone_number": "201-324-3900",
            "fax_number": "201-324-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064801",
            "telephone_number": "201-324-3900",
            "fax_number": "201-324-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESH II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "SOLAIMAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "551-358-4841"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00712900",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Horizon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.