Active NPI
George Junior Rusuloj, PHARM. D
- Pharmacist
- Edison, NJ
National Provider Identifier
1285856534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03079800
- Practice address
- 1907 Route 27
Edison, NJ 08817 - Phone
- (732) 985-1211
- Fax
- (732) 985-3609
- NPI assigned
- May 3, 2007
- 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 | 28RI03079800 | NJ | Primary |
Addresses
Primary practice location
1907 Route 27
Edison, NJ 08817
Mailing address
42 Bayberry Drive
Somerset, NJ 08873
Phone (973) 568-8692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03079800 | Other | NJ | STATE LICENSE NUMBER |
Other names 1
- George Junior Douberley
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03079800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285856534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BAYBERRY DRIVE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "973-568-8692",
"fax_number": "732-985-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "08817",
"telephone_number": "732-985-1211",
"fax_number": "732-985-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSULOJ",
"first_name": "GEORGE",
"middle_name": "JUNIOR",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03079800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "28RI03079800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "DOUBERLEY",
"middle_name": "JUNIOR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.