Active NPI
Joseph Hamedl
- Pharmacist
- East Rutherford, NJ
National Provider Identifier
1164983102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04025800
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04025800 | NJ | MD | Pharmacist |
| 064766 | NY | MD | Community/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.