Individual provider Active NPI

Amgad Awad

  • Pharmacist
  • Oceanport, NJ
National Provider Identifier
1225616733
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04110000 Issued in NJ
Practice address
271 E Main St
Oceanport, NJ 07757-1145
Phone
(732) 542-8607
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04110000 NJ Primary

Addresses

Primary practice location

271 E Main St
Oceanport, NJ 07757-1145

Mailing address

6139 Woodbine St Apt 4
Ridgewood, NY 11385-4020
Phone (929) 404-3224

Other practice location 1

6139 Woodbine St Apt 4
Ridgewood, NY 11385-4020
Phone (929) 404-3224

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
28RI04110000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1225616733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 WOODBINE ST APT 4",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854020",
            "telephone_number": "929-404-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571145",
            "telephone_number": "732-542-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6139 Woodbine St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113854020",
            "country_code": "US",
            "telephone_number": "929-404-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAD",
        "first_name": "AMGAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04110000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.