Active NPI
Levy'S Pharmacy of Lyndhurst LLC
- Durable Medical Equipment & Medical Supplies
- Lyndhurst, NJ
National Provider Identifier
1184134249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 28RS00602800
- Legal business name
- LEVY'S PHARMACY OF LYNDHURST LLC
- Practice address
- 299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874 - Phone
- (201) 438-1026
- Fax
- (201) 438-1668
- NPI assigned
- Oct 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Garcia
- Title
- Owner/Rpic
- Phone
- (201) 438-1026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28RS00602800 | NJ | Primary |
Addresses
Primary practice location
299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874
Mailing address
299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874
Phone (201) 438-1026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8941815 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506988800000",
"number": "1184134249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 STUYVESANT AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711874",
"telephone_number": "201-438-1026",
"fax_number": "201-438-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 STUYVESANT AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711874",
"telephone_number": "201-438-1026",
"fax_number": "201-438-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVY'S PHARMACY OF LYNDHURST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-03",
"last_updated": "2017-10-03",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "OWNER/RPIC",
"authorized_official_telephone_number": "201-438-1026"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "28RS00602800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8941815",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.