Active NPI
Ankur Jetley
- Pharmacist
- Fairfield, NJ
National Provider Identifier
1043592926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02901900
- Practice address
- 397 Route 46 W
Fairfield, NJ 07004-1967 - Phone
- (973) 568-7830
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02901900 | NJ | Primary |
Addresses
Primary practice location
397 Route 46 W
Fairfield, NJ 07004-1967
Mailing address
397 Route 46 W
Fairfield, NJ 07004-1967
Phone (973) 568-7830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02901900 | Other | NJ | NEW JERSEY STATE PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 28RI02901900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1043592926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 ROUTE 46 W",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041967",
"telephone_number": "973-568-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 ROUTE 46 W",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041967",
"telephone_number": "973-568-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETLEY",
"first_name": "ANKUR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02901900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY STATE PHARMACIST LICENSE NUMBER",
"identifier": "28RI02901900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.