Active NPI
Hyder K Traboulsi
- Pharmacist
- Clifton, NJ
National Provider Identifier
1194077263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI02256500
- Practice address
- 20 Bridewell PL
Clifton, NJ 07014-1724 - Phone
- (973) 779-0189
- Fax
- (973) 779-0717
- NPI assigned
- Oct 12, 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 | RI02256500 | NJ | Primary |
Addresses
Primary practice location
20 Bridewell PL
Clifton, NJ 07014-1724
Mailing address
31 Cannon Rd
Old Bridge, NJ 08857-4237
Phone (732) 521-4660
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 |
|---|---|---|---|
| RI02256500 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1194077263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CANNON RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088574237",
"telephone_number": "732-521-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BRIDEWELL PL",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141724",
"telephone_number": "973-779-0189",
"fax_number": "973-779-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRABOULSI",
"first_name": "HYDER",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI02256500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.