Active NPI
Martha Samir Henen
- Pharmacist
- Perth Amboy, NJ
National Provider Identifier
1215601752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04157700
- Practice address
- 432 Hall Ave
Perth Amboy, NJ 08861-2515 - Phone
- (732) 442-0163
- NPI assigned
- Aug 8, 2021
- 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 | 28RI04157700 | NJ | Primary |
Addresses
Primary practice location
432 Hall Ave
Perth Amboy, NJ 08861-2515
Mailing address
22 Exeter Rd
Jersey City, NJ 07305-1240
Other names 1
- Martha Samir Bashir Henen
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 |
|---|---|---|---|
| 28RI04157700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Maria Pharmacy, Inc. | Past | Accepting new patients | |
| Truth Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Perth Amboy, NJ
- NPI 1396813192
-
- Community/Retail Pharmacy
- Perth Amboy, NJ
- NPI 1902176753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1215601752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 EXETER RD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 HALL AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612515",
"telephone_number": "732-442-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEN",
"first_name": "MARTHA",
"middle_name": "SAMIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04157700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "BASHIR HENEN",
"middle_name": "SAMIR",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.