Bleeding Disorders Resource Network, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00682200 Issued in NJ

Legal business name

BLEEDING DISORDERS RESOURCE NETWORK, LLC

Practice address

4 Stewart CT
Denville, NJ 07834-1028

Phone

(973) 513-9031

Fax

(973) 513-9032

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Vento

Title

Owner/Co-President

Phone

(973) 513-9031

Specialties & licenses 5

Addresses

Other names 1

• BDRN, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Joseph A Cicitta, RPH

  • Pharmacist
  • Denville, NJ
  • NPI 1962245944
  NPD
• Niranjan R Shah, R.PH.,

  • Pharmacist
  • Riverdale, NJ
  • NPI 1588814875
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1356507487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STEWART CT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341028",
            "telephone_number": "973-513-9031",
            "fax_number": "973-513-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STEWART CT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341028",
            "telephone_number": "973-513-9031",
            "fax_number": "973-513-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEEDING DISORDERS RESOURCE NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "VENTO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER/CO-PRESIDENT",
        "authorized_official_telephone_number": "973-513-9031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NJ",
            "license": "28RS00682200",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00682200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00682200",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NJ",
            "license": "28RS00682200",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00682200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BDRN, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BDRN, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Denville, NJ
• Providers in Denville, 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 22, 2022; 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.