Individual provider Active NPI

Angelo Charles Attanasio

  • Pharmacist
  • Trenton, NJ
National Provider Identifier
1134327430
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01447000 Issued in NJ
Practice address
3705 Quakerbridge Rd
Suite 101 Mep Division
Trenton, NJ 08619-1288
Phone
(609) 588-6000
NPI assigned
Jul 7, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01447000 NJ Primary

Addresses

Primary practice location

3705 Quakerbridge Rd
Suite 101 Mep Division
Trenton, NJ 08619-1288

Mailing address

3705 Quakerbridge Rd
Suite 101 Mep Division
Trenton, NJ 08619-1288
Phone (609) 588-6000

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
28RI01447000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1134327430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD",
            "address_2": "SUITE 101 MEP DIVISION",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "609-588-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD",
            "address_2": "SUITE 101 MEP DIVISION",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "609-588-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTANASIO",
        "first_name": "ANGELO",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-07",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01447000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.