Active NPI
Mecap Inc
Doing business as Glen Ridge Pharmacy
- Community/Retail Pharmacy
- Glen Ridge, NJ
National Provider Identifier
1326059841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00544300
- Legal business name
- MECAP INC
- Doing business as
- Glen Ridge Pharmacy
- Practice address
- 855 Bloomfield Ave
Glen Ridge, NJ 07028-1341 - Phone
- (973) 743-5900
- Fax
- (973) 743-8630
- NPI assigned
- Aug 10, 2006
- Last updated
- Feb 9, 2015
- 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
- Asish Patel
- Title
- President
- Phone
- (973) 743-5900
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00544300 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
855 Bloomfield Ave
Glen Ridge, NJ 07028-1341
Mailing address
855 Bloomfield Ave
Glen Ridge, NJ 07028-1341
Phone (973) 743-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5442206 | Medicaid | NJ | |
| 2055737 | Other | PK | |
| 4384709 | Medicaid | NJ |
Other names 1
- GLEN RIDGE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014313 | NJ | DME Supplier - Pharmacy | 1153449053 | Practice locations: Glen Ridge, NJ |
| O20201231000734 | NJ | Part B Supplier - Pharmacy | 1153449053 | Practice locations: Glen Ridge, 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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2228191 | Mecap Inc Dba Glen Ridge Pharmacy | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Clifton, NJ
- NPI 1922212109
-
- Pharmacist
- Glen Ridge, NJ
- NPI 1487242756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423440000000",
"number": "1326059841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 BLOOMFIELD AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281341",
"telephone_number": "973-743-5900",
"fax_number": "973-743-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 BLOOMFIELD AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281341",
"telephone_number": "973-743-5900",
"fax_number": "973-743-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECAP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2015-02-09",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "ASISH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-743-5900"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00544300",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5442206",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2055737",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4384709",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GLEN RIDGE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.