Moiza M Maryam

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04299300 Issued in NJ

Practice address

29-00 Broadway # 4
Fair Lawn, NJ 07410-3912

Phone

(201) 475-8311

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Flemington, NJ
  • NPI 1255224549
  NPD (past)
• New Jersey CVS Pharmacy LLC

  dba CVS Pharmacy 05427

  • Pharmacy
  • Fair Lawn, NJ
  • NPI 1326130899
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1174226914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122B ELMWOOD TER",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071764",
            "telephone_number": "201-906-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29-00 BROADWAY # 4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103912",
            "telephone_number": "201-475-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAM",
        "first_name": "MOIZA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04299300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina-Marie Martini, OTR
• Teresa Ann Martino, M.A
• Aleksandr Martirosov, D.O.
• Carly Marut, M.S., CCC-SLP
• Marvin Wisch PA
• Laurel-Anne Lauretta Mason
• Jerise M. Massone, D.C.
• Daniel E Massoud, LMFT
• Mattea Ad PC (Center IMT Fair Lawn)
• Maximized Living & Wellness Center, LLC

• Pharmacist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.