Individual provider Active NPI

Albert Tadross

  • Pharmacist
  • Perth Amboy, NJ
National Provider Identifier
1194462473
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01778800 Issued in NJ
Practice address
376 State St
Perth Amboy, NJ 08861-3438
Phone
(732) 442-5580
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01778800 NJ Primary

Addresses

Primary practice location

376 State St
Perth Amboy, NJ 08861-3438

Mailing address

376 State St
Perth Amboy, NJ 08861-3438

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
28RI01778800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tadross Corporation, Inc. CurrentSince May 22, 2022 Accepting new patients

Locations

376 State St
Perth Amboy, NJ 08861
Phone (732) 442-5580

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1194462473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613438",
            "telephone_number": "732-442-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROSS",
        "first_name": "ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01778800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.