Active NPI
Ja Sung
- Pharmacist
- Clifton, NJ
National Provider Identifier
1154698942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NJ28RI01518900
- Practice address
- 377 Valley Rd
Clifton, NJ 07013-1319 - Phone
- (973) 278-8876
- NPI assigned
- Nov 21, 2011
- Last updated
- Nov 21, 2011
- 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 | NJ28RI01518900 | NJ | Primary |
Addresses
Primary practice location
377 Valley Rd
Clifton, NJ 07013-1319
Mailing address
8300 Warrens Way
Wanaque, NJ 07465-1611
Phone (201) 289-6510
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
| License | State | Type | Specialty |
|---|---|---|---|
| NJ28RI01518900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1154698942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 WARRENS WAY",
"city": "WANAQUE",
"state": "NJ",
"postal_code": "074651611",
"telephone_number": "201-289-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 VALLEY RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131319",
"telephone_number": "973-278-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "JA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "NJ28RI01518900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.