Active NPI
Jason Jose
- Pharmacist
- Bergenfield, NJ
National Provider Identifier
1174791313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02795700
- Practice address
- 80 New Bridge Rd
Bergenfield, NJ 07621-4112 - Phone
- (201) 385-6883
- Fax
- (201) 385-3594
- NPI assigned
- Feb 11, 2008
- Last updated
- Dec 15, 2015
- 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 | 28RI02795700 | NJ | Primary |
Addresses
Primary practice location
80 New Bridge Rd
Bergenfield, NJ 07621-4112
Mailing address
80 New Bridge Rd
Bergenfield, NJ 07621-4112
Phone (201) 385-0091
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 |
|---|---|---|---|
| 28RI02795700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1174791313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 NEW BRIDGE RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214112",
"telephone_number": "201-385-0091",
"fax_number": "201-385-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 NEW BRIDGE RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214112",
"telephone_number": "201-385-6883",
"fax_number": "201-385-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02795700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
- Jersey Family Foot and Ankle LLC
- Jersey Foot and Ankle
- Jewish Association for Developmental Disabilities (J-Add Inc.)
- Jewish Association for Developmental Disabilities (J-ADD Inc.)
- Stanley John, PHYSICIAN ASSISTANT
- Josef M. Weisgras MD PA
- Jency Joseph, PT, DPT
- Slava Kacherov, PHARMD
- Tamila Kadyr-Akhunova
- Daniel Kallush, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.