Active NPI
Julio Fumoso, RPH
- Pharmacist
- Elizabeth, NJ
National Provider Identifier
1073642690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02985500
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202-3625 - Phone
- (908) 994-8750
- Fax
- (908) 994-8792
- NPI assigned
- Mar 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042648 | NY | |
| Pharmacist | 183500000X | 28RI02985500 | NJ | Primary |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202-3625
Mailing address
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-8789
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02985500 | NJ | MD | Pharmacist |
| 042648 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1073642690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-994-8789",
"fax_number": "909-994-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-994-8750",
"fax_number": "908-994-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUMOSO",
"first_name": "JULIO",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042648",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02985500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.