Tanup Patel

Individual provider Active NPI Pharmacist · Dunellen, NJ

NPI 1124593884 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1124593884
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI03451400 (NJ)
Practice address
187 North Ave
Dunellen, NJ 08812-1277
Phone
(732) 968-1481
Fax
(732) 968-0244
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RI03451400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
London Private LLC Current Accepting new patients
Pochi Corp Current
since Jun 22, 2021
Accepting new patients

Locations

187 North Ave
Dunellen, NJ 08812
Phone (732) 968-1481

989 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 429-9300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03451400 NJ Yes

Addresses

Primary practice location

187 North Ave
Dunellen, NJ 08812-1277

Mailing address

187 North Ave
Dunellen, NJ 08812-1277
Phone (732) 968-1481

Other providers in Dunellen, NJ

All providers in Dunellen, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.