NPIMap

Individual provider Active NPI

Maged Messeha

  • Pharmacist
  • Newark, NJ
National Provider Identifier
1053884866
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03998800 Issued in NJ
Practice address
33 Park Ave
Newark, NJ 07104-1043
Phone
(973) 482-1556
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03998800 NJ Primary

Addresses

Primary practice location

33 Park Ave
Newark, NJ 07104-1043

Mailing address

434 Miner Ter
Linden, NJ 07036-4140
Phone (908) 342-9324

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

LicenseStateTypeSpecialty
28RI03998800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmora RX Pharmacy LLC Current Accepting new patients
Kings Pharmacy LLC Past Accepting new patients
Kings Pharmacy LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1053884866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MINER TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364140",
            "telephone_number": "908-342-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PARK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041043",
            "telephone_number": "973-482-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSEHA",
        "first_name": "MAGED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03998800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 3, 2019; 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.