Individual provider Active NPI

Joseph Hamedl

  • Pharmacist
  • East Rutherford, NJ
National Provider Identifier
1164983102
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04025800 Issued in NJ
Practice address
20 Murray Hill Pkwy Ste 210
East Rutherford, NJ 07073-2164
Phone
(201) 430-7300
NPI assigned
Mar 30, 2019
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04025800 NJ Primary
Community/Retail Pharmacy 3336C0003X 064766 NY

Addresses

Primary practice location

20 Murray Hill Pkwy Ste 210
East Rutherford, NJ 07073-2164

Mailing address

50 Passaic Ave Apt 303
Kearny, NJ 07032-1155
Phone (845) 554-6584

Other practice location 1

4170 Albany Post Rd
Hyde Park, NY 12538-1762
Phone (845) 229-8881

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
28RI04025800NJMDPharmacist
064766NYMDCommunity/Retail Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1164983102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PASSAIC AVE APT 303",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321155",
            "telephone_number": "845-554-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MURRAY HILL PKWY STE 210",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070732164",
            "telephone_number": "201-430-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381762",
            "country_code": "US",
            "telephone_number": "845-229-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMEDL",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04025800",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "064766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.