Active NPI
Maryam Javdan, PHARM D
- Pharmacist
- Bergenfield, NJ
National Provider Identifier
1073895769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03152600
- Practice address
- 241 N Washington Ave
Bergenfield, NJ 07621-1357 - Phone
- (201) 384-0964
- Fax
- (201) 387-0154
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03152600 | NJ | Primary |
Addresses
Primary practice location
241 N Washington Ave
Bergenfield, NJ 07621-1357
Mailing address
241 N Washington Ave
Bergenfield, NJ 07621-1357
Phone (201) 384-0964
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03152600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1073895769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 N WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211357",
"telephone_number": "201-384-0964",
"fax_number": "201-387-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 N WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211357",
"telephone_number": "201-384-0964",
"fax_number": "201-387-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVDAN",
"first_name": "MARYAM",
"name_prefix": "Ms.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03152600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.