Active NPI
Brijeshkumar Rajnikant Patel
- Pharmacist
- Glen Ridge, NJ
National Provider Identifier
1073949533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03622500
- Practice address
- 855 Bloomfield Ave Ste 1
Glen Ridge, NJ 07028-1349 - Phone
- (973) 743-5900
- NPI assigned
- Sep 17, 2013
- 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 | S020061 | AZ | |
| Pharmacist | 183500000X | 28RI03622500 | NJ | Primary |
Addresses
Primary practice location
855 Bloomfield Ave Ste 1
Glen Ridge, NJ 07028-1349
Mailing address
2001 Ramrod Ave Apt 1521
Henderson, NV 89014-2386
Phone (201) 706-0324
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020061 | AZ | MD | Pharmacist |
| 28RI03622500 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1073949533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 RAMROD AVE APT 1521",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142386",
"telephone_number": "201-706-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 BLOOMFIELD AVE STE 1",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281349",
"telephone_number": "973-743-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BRIJESHKUMAR",
"middle_name": "RAJNIKANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-17",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020061",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03622500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.