Sanjay R Balsara
Individual provider Active NPI Pharmacist · Spotswood, NJ
NPI 1154935948 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1154935948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03780400 (NJ)
- Practice address
- 15 Summerhill Rd
Spotswood, NJ 08884-1251 - Phone
- (732) 251-8202
- NPI assigned
- Aug 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03780400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03780400 | NJ | Yes |
Addresses
Primary practice location
15 Summerhill Rd
Spotswood, NJ 08884-1251
Mailing address
15 Summerhill Rd
Spotswood, NJ 08884-1251
Phone (732) 251-8202
Other providers in Spotswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.