Active NPI
Geraldine Susan Hahn-Grassia, RPH
- Pharmacist
- Northvale, NJ
National Provider Identifier
1104422880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02169800
- Practice address
- 246 Livingston St
Northvale, NJ 07647-1910 - Phone
- (201) 784-3607
- Fax
- (201) 784-3880
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 28RI02169800 | NJ | Primary |
Addresses
Primary practice location
246 Livingston St
Northvale, NJ 07647-1910
Mailing address
246 Livingston St
Northvale, NJ 07647-1910
Phone (201) 784-3607
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Northvale | Direct |
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 |
|---|---|---|---|
| 28RI02169800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inserra Supermarket Incorporated | Past | Accepting new patients | |
| Inserra Supermarkets Inc | 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.
-
- Pharmacy
- Northvale, NJ
- NPI 1922113703
-
- Community/Retail Pharmacy
- Wallington, NJ
- NPI 1194830976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1104422880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 LIVINGSTON ST",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076471910",
"telephone_number": "201-784-3607",
"fax_number": "201-784-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 LIVINGSTON ST",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076471910",
"telephone_number": "201-784-3607",
"fax_number": "201-784-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN-GRASSIA",
"first_name": "GERALDINE",
"middle_name": "SUSAN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02169800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Northvale",
"affiliation": "N",
"endpointDescription": "phone",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "246 Livingston St",
"city": "Northvale",
"state": "NJ",
"country_code": "US",
"postal_code": "076471910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Northvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.