Individual provider Active NPI

Raja Veerabhadrudu Saridey

  • Pharmacist
  • Bound Brook, NJ
National Provider Identifier
1184990939
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03412000 Issued in NJ
Practice address
52 Somerset CT
Apt D
Bound Brook, NJ 08805-2161
Phone
(732) 781-6733
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03412000 NJ Primary
Pharmacist 183500000X RP445560 PA
Pharmacist 183500000X 51149 TX

Addresses

Primary practice location

52 Somerset CT
Apt D
Bound Brook, NJ 08805-2161

Mailing address

52 Somerset CT
Apt D
Bound Brook, NJ 08805-2161
Phone (732) 781-6733

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

LicenseStateTypeSpecialty
28RI03412000NJMDPharmacist
RP445560PAMDPharmacist
51149TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1184990939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SOMERSET CT",
            "address_2": "APT D",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052161",
            "telephone_number": "732-781-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SOMERSET CT",
            "address_2": "APT D",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052161",
            "telephone_number": "732-781-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIDEY",
        "first_name": "RAJA VEERABHADRUDU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03412000",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445560",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

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

Verify at the official NPI Registry.