Active NPI
Amit Sheth
- Pharmacist
- Long Branch, NJ
National Provider Identifier
1174113120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02632300
- Practice address
- 186 Broadway
Long Branch, NJ 07740-7006 - Phone
- (732) 222-1481
- Fax
- (732) 870-0603
- NPI assigned
- Jan 24, 2021
- Last updated
- Jan 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02632300 | NJ | Primary |
Addresses
Primary practice location
186 Broadway
Long Branch, NJ 07740-7006
Mailing address
119 Nutmeg Rd
Aberdeen, NJ 07747-1361
Phone (732) 207-3527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02632300 | Other | NJ | STATE PHARMACY LICENSE |
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 |
|---|---|---|---|
| 28RI02632300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vraj Inc. | Current | Accepting new patients | |
| Amitvraj LLC | Current | Accepting new patients |
Locations
186 Broadway
Long Branch, NJ 07740
Phone (732) 222-1481
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1174113120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 NUTMEG RD",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077471361",
"telephone_number": "732-207-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BROADWAY",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077407006",
"telephone_number": "732-222-1481",
"fax_number": "732-870-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "AMIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02632300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "28RI02632300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.