Rockaway Shoprite Associates Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00437400 Issued in NJ

Legal business name

ROCKAWAY SHOPRITE ASSOCIATES INC

Practice address

437 Route 46
Dover, NJ 07801

Phone

(973) 366-0402

Fax

(973) 366-2383

NPI assigned

Aug 20, 2006

Reactivated

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Melissa Figueora Rivera

Title

Third Party Administrator

Phone

(732) 521-8448

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SHOPRITE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rockaway Shoprite Associates Inc

  • Community/Retail Pharmacy
  • Linden, NJ
  • NPI 1700991585

  O20110128000042

  Same enrollment
• Rockaway Shoprite Associates Inc

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
  • NPI 1730294513

  O20110128000042

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisa D Canaca, RPH

  • Pharmacist
  • Linden, NJ
  • NPI 1154599249
  NPD (past)
• Ghanshyambhai Patel

  • Pharmacist
  • Linden, NJ
  • NPI 1134634801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1124133905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 ROUTE 46",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-366-0402",
            "fax_number": "973-366-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY SHOPRITE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-09-19",
        "deactivation_date": "2018-09-12",
        "reactivation_date": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "FIGUEORA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00437400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4346904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "4346912",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3125172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mauricio Restrepo, M.D. FAAP
• Jacqueline Reyes, APN-BC
• Jeison Rivera Plata
• Dumar Rivera-Herrera, APN, CRNA
• Robert a Siegel MD
• Elizabeth S Rodriguez, RD
• Keila Ivonne Rodriguez, AGNP-C
• Nathalia Rodriguez, RDH
• Paola Rodriguez
• Joanna Rojecka

• Community/Retail Pharmacy in Dover, NJ
• Providers in Dover, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.