Siddhivinayak Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

28RS00581900 Issued in NJ

Legal business name

SIDDHIVINAYAK INC

Doing business as

Bergen Pharmacy

Practice address

90 Bergen St Ste 1600
Newark, NJ 07103-2425

Phone

(973) 972-1960

Fax

(973) 972-8158

NPI assigned

Sep 13, 2017

Organization subpart

Yes

Parent organization

SIDDHIVINAYAK INCAs reported in NPPES

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

Authorized official

Name

Mr. Rasik M Nagrecha

Title

President

Phone

(973) 972-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bergen Pharmacy Doing business as

Tax ID family

Siddhivinayak Inc3 organizations share this tax ID, including this one

Part of

Siddhivinayak Inc

Other organizations with this tax ID 2

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

• Siddhivinayak Inc

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1801996053
  NPD tax ID
• Siddhivinayak Inc.

  • Pharmacy
  • Newark, NJ
  • NPI 1043828577
  NPD tax ID

Practitioners 1

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

• Chandresh Dhebaria, RPH

  • Pharmacist
  • Newark, NJ
  • NPI 1952688632
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1073032843",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 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": "YES",
        "parent_organization_legal_business_name": "SIDDHIVINAYAK INC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "RASIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-972-1960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00581900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8172510",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ankita Sibal
• Dhiraj Raju Sibala
• Jon F Sicat, D.O.
• Anna Theresa Sicilia, DO, MPH
• Cindy Sickora, RN, MSN
• Siddhivinayak Inc
• Siddhivinayak Inc.
• Madheea Siddiqi, M.D
• Muhammad A Siddiqui
• Murtaza Siddiqui, MD

• Durable Medical Equipment & Medical Supplies in Newark, NJ
• Providers in Newark, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.