Science Gladiators LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00739300 Issued in NJ

Legal business name

SCIENCE GLADIATORS LLC

Practice address

220 Livingston St
Northvale, NJ 07647-1738

Phone

(201) 767-2621

Fax

(201) 297-7720

NPI assigned

Apr 8, 2015

Organization subpart

No

Name

David YoonNPI 1497074785

Title

Pharmacist in Charge

Phone

(201) 322-9090

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Yoon

  • Pharmacist
  • Northvale, NJ
  • NPI 1497074785
  NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

• US pharmacy lab Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2019.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1275929150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST STE 106",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471739",
            "telephone_number": "201-322-9090",
            "fax_number": "201-767-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471738",
            "telephone_number": "201-767-2621",
            "fax_number": "201-297-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIENCE GLADIATORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-322-9090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00739300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US pharmacy lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US pharmacy lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Marie Rivera
• Livia Rosca, RPH
• Michelle Rosenberg, PT
• Joel David Rosenkrantz, DDS
• Jasmeet Sandhu, DDS
• Rosemary Sengul
• Beth Small, LAC
• Faith Essence Smash, LMT
• Namrata Solanki
• Spectrum for Living Development, Inc.

• All providers in Northvale, NJ
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.