Individual provider Active NPI

Simone Gitshteyn, PHARM.D

  • Pharmacist
  • Weehawken, NJ
National Provider Identifier
1073013199
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03917800 Issued in NJ
Practice address
1575 Harbor Blvd Apt 3811
Weehawken, NJ 07086-6671
Phone
(347) 414-2143
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03917800 NJ Primary

Addresses

Primary practice location

1575 Harbor Blvd Apt 3811
Weehawken, NJ 07086-6671

Mailing address

1575 Harbor Blvd Apt 3811
Weehawken, NJ 07086-6671

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03917800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1073013199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HARBOR BLVD APT 3811",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HARBOR BLVD APT 3811",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866671",
            "telephone_number": "347-414-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITSHTEYN",
        "first_name": "SIMONE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03917800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.