Active NPI
Raviprasad Bandi
- Pharmacist
- Fort Lee, NJ
National Provider Identifier
1174871032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03221400
- Practice address
- 1575 Center Ave
Apt 4B
Fort Lee, NJ 07024-4644 - Phone
- (862) 591-8890
- NPI assigned
- Aug 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03221400 | NJ | Primary |
Addresses
Primary practice location
1575 Center Ave
Apt 4B
Fort Lee, NJ 07024-4644
Mailing address
1575 Center Ave
Apt#4B
Fort Lee, NJ 07024
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 |
|---|---|---|---|
| 28RI03221400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1174871032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 CENTER AVE",
"address_2": "APT#4B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 CENTER AVE",
"address_2": "APT 4B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244644",
"telephone_number": "862-591-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "RAVIPRASAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03221400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.