Active NPI
Walter Puzio
- Pharmacist
- Wayne, NJ
National Provider Identifier
1164849402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI013124
- Practice address
- 1391 Valley Rd Apt a
Wayne, NJ 07470-8019 - Phone
- (973) 557-8550
- NPI assigned
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI013124 | NJ | Primary |
| Pharmacist | 183500000X | 027126 | NY |
Addresses
Primary practice location
1391 Valley Rd Apt a
Wayne, NJ 07470-8019
Mailing address
1391 Valley Rd Apt a
Wayne, NJ 07470-8019
Phone (973) 557-8550
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 |
|---|---|---|---|
| RI013124 | NJ | MD | Pharmacist |
| 027126 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1164849402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 VALLEY RD APT A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708019",
"telephone_number": "973-557-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 VALLEY RD APT A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708019",
"telephone_number": "973-557-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUZIO",
"first_name": "WALTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI013124",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.