Active NPI
Old Bridge Drugs and Surgicals LLC
- Pharmacist
- Old Bridge, NJ
National Provider Identifier
1316936636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RS00652500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057465 | NJ | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Old Bridge Drugs and Surgicals | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Old Bridge, NJ
- NPI 1528617404
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
- Old Bridge Dental Arts
- Old Bridge Dental Arts
- Old Bridge Dental Care
- Old Bridge Dental Center
- Old Bridge Dental Practice LLC
- Old Bridge Family Eyecare LLC
- Old Bridge Family Orthodontics LLC
- Old Bridge First Aid and Rescue Squad of Madison Township Inc
- Old Bridge Laboratories Inc
- Old Bridge Pediatric Dentistry LLC
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.