NPIMap

Organization Active NPI

Siddhivinayak Inc.

  • Pharmacy
  • Newark, NJ
National Provider Identifier
1043828577
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SIDDHIVINAYAK INC.
Practice address
90 Bergen St # 1600
Newark, NJ 07103-2425
Phone
(973) 972-1960
Fax
(973) 972-8158
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Rasik Nagrecha
Title
President
Phone
(973) 992-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

90 Bergen St # 1600
Newark, NJ 07103-2425

Mailing address

23 Canoe Brook Dr
Livingston, NJ 07039-6121
Phone (973) 992-1951

Other identifiers 1

IdentifierTypeStateIssuer
8172501MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aj@bergenrx.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Siddhivinayak Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

90 Bergen St
#1600
Newark, NJ 07103
Phone (973) 972-1960

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1043828577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANOE BROOK DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396121",
            "telephone_number": "973-992-1951",
            "fax_number": "973-992-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST # 1600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-1960",
            "fax_number": "973-972-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHIVINAYAK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "RASIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-992-1951"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8172501",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aj@bergenrx.com",
            "affiliation": "N",
            "endpointDescription": "aj@bergenrx.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 Bergen St # 1600",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.