Active NPI
Teresa Febles-Valente, RPH
- Pharmacist
- North Bergen, NJ
National Provider Identifier
1184802365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RS00203800
- Practice address
- 2115 69TH St
North Bergen, NJ 07047-4518 - Phone
- (201) 861-4700
- Fax
- (201) 453-0890
- NPI assigned
- Feb 10, 2008
- Last updated
- Feb 10, 2008
- Sex
- Female
- 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 | 28RS00203800 | NJ | Primary |
Addresses
Primary practice location
2115 69TH St
North Bergen, NJ 07047-4518
Mailing address
2115 69TH St
North Bergen, NJ 07047-4518
Phone (201) 861-4700
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RS00203800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1202601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202601600000",
"number": "1184802365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 69TH ST",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474518",
"telephone_number": "201-861-4700",
"fax_number": "201-453-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 69TH ST",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474518",
"telephone_number": "201-861-4700",
"fax_number": "201-453-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEBLES-VALENTE",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-10",
"last_updated": "2008-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RS00203800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.