Active NPI
Sima Patel
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1174065924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03830300
- Practice address
- 3300 Kennedy Blvd
Jersey City, NJ 07307-4212 - Phone
- (201) 653-1725
- Fax
- (201) 653-3233
- NPI assigned
- Nov 10, 2016
- 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 | 28RI03830300 | NJ | Primary |
Addresses
Primary practice location
3300 Kennedy Blvd
Jersey City, NJ 07307-4212
Mailing address
89 Marmora Rd
Parsippany, NJ 07054-2647
Phone (862) 812-3944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03830300 | Other | NJ | NJ BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 28RI03830300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raahii Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1174065924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MARMORA RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542647",
"telephone_number": "862-812-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073074212",
"telephone_number": "201-653-1725",
"fax_number": "201-653-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03830300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF PHARMACY",
"identifier": "28RI03830300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.