Active NPI
Motasim Daghash
- Pharmacist
- Somerset, NJ
National Provider Identifier
1245723667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03818700
- Practice address
- 695 Hamilton St Unit a
Somerset, NJ 08873-3274 - Phone
- (732) 545-8800
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- 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 | 28RI03818700 | NJ | Primary |
Addresses
Primary practice location
695 Hamilton St Unit a
Somerset, NJ 08873-3274
Mailing address
695 Hamilton St Unit a
Somerset, NJ 08873-3274
Phone (732) 545-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280836 | Medicaid | NJ |
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 |
|---|---|---|---|
| 28RI03818700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1245723667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 HAMILTON ST UNIT A",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733274",
"telephone_number": "732-545-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 HAMILTON ST UNIT A",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733274",
"telephone_number": "732-545-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGHASH",
"first_name": "MOTASIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03818700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280836",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.