Organization Active NPI

Old Bridge Drugs and Surgicals LLC

  • Pharmacist
  • Old Bridge, NJ
National Provider Identifier
1316936636
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RS00652500 Issued in NJ
Legal business name
OLD BRIDGE DRUGS AND SURGICALS LLC
Practice address
200 Perrine Rd
Suite 200B
Old Bridge, NJ 08857-2842
Phone
(732) 525-2220
Fax
(732) 525-2277
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mr. Archana Barthwal
Title
President
Phone
(732) 525-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RS00652500 NJ Primary

Addresses

Primary practice location

200 Perrine Rd
Suite 200B
Old Bridge, NJ 08857-2842

Mailing address

200 Perrine Rd
Suite 200B
Old Bridge, NJ 08857-2842
Phone (732) 525-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930057465 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6103037528 Practice locations: Old Bridge, NJ
O20220422001826 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6103037528 Practice locations: Old Bridge, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Old Bridge Drugs and Surgicals200 Perrine Rd, Old Bridge, NJ 08857-2842(732) 525-2220 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 11, 2005

National Provider Directory

National Provider Directory

Locations

200 Perrine Rd
Ste 200B
Old Bridge, NJ 08857
Phone (732) 525-2220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1316936636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 200B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-525-2220",
            "fax_number": "732-525-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 200B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-525-2220",
            "fax_number": "732-525-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE DRUGS AND SURGICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BARTHWAL",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-525-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RS00652500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.