Individual provider Active NPI

Omar Hasan Miqbel

  • Pharmacist
  • West New York, NJ
National Provider Identifier
1083368575
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03309700 Issued in NJ
Practice address
6014 Bergenline Ave Ste B
West New York, NJ 07093-5179
Phone
(201) 758-1415
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03309700 NJ Primary

Addresses

Primary practice location

6014 Bergenline Ave Ste B
West New York, NJ 07093-5179

Mailing address

6014 Bergenline Ave Ste B
West New York, NJ 07093-5179
Phone (201) 758-1415

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

LicenseStateTypeSpecialty
28RI03309700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
United Pharmacy Wny LLC PastSince Feb 6, 2022 Accepting new patients

Organizations & group practices 1

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1083368575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 BERGENLINE AVE STE B",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935179",
            "telephone_number": "201-758-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 BERGENLINE AVE STE B",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935179",
            "telephone_number": "201-758-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIQBEL",
        "first_name": "OMAR",
        "middle_name": "HASAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03309700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.