Individual provider Active NPI

Peter John Sabados, RPH

  • Pharmacist
  • Tinton Falls, NJ
National Provider Identifier
1275581035
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042023 Issued in NY
Practice address
3000 Essex Rd
Suite VC 104
Tinton Falls, NJ 07753-2400
Phone
(732) 643-2041
Fax
(732) 643-2069
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042023 NY Primary

Addresses

Primary practice location

3000 Essex Rd
Suite VC 104
Tinton Falls, NJ 07753-2400

Mailing address

3000 Essex Rd
Suite VC 104
Tinton Falls, NJ 07753-2400
Phone (732) 643-2041

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042023NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1275581035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ESSEX RD",
            "address_2": "SUITE VC 104",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077532400",
            "telephone_number": "732-643-2041",
            "fax_number": "732-643-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ESSEX RD",
            "address_2": "SUITE VC 104",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077532400",
            "telephone_number": "732-643-2041",
            "fax_number": "732-643-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABADOS",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.