Incline Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00748000 Issued in NJ

Legal business name

INCLINE HEALTH LLC

Practice address

331 Tom Hunter Rd
Fort Lee, NJ 07024-4608

Phone

(201) 676-3838

Fax

(201) 676-3840

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Craig Cohen

Title

Owner

Phone

(201) 676-3838

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Incline Health LLC Doing business as

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1306207659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244608",
            "telephone_number": "201-676-3838",
            "fax_number": "201-676-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244608",
            "telephone_number": "201-676-3838",
            "fax_number": "201-676-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-676-3838"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00748000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incline Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.