New Dorp Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031161 Issued in NY

Legal business name

NEW DORP PHARMACY CORP

Practice address

62 New Dorp PLZ
Staten Island, NY 10306-2920

Phone

(718) 667-6668

Fax

(718) 667-6665

NPI assigned

Apr 30, 2012

Last updated

May 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pavel Lerman

Title

President

Phone

(718) 667-6668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 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 1

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.

• Russell Zadov, PHARM D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1083940993
  NPD

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1356609143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NEW DORP PLZ",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062920",
            "telephone_number": "718-667-6668",
            "fax_number": "718-667-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 NEW DORP PLZ",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062920",
            "telephone_number": "718-667-6668",
            "fax_number": "718-667-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DORP PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "LERMAN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-667-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY REGISTRATION",
            "identifier": "031161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Broadview Manor Hfa, LLC
• New Dorp 1 Inc (home sweet home)
• New Dorp Chiropractic Associates
• New Dorp Medical PC
• New Dorp Optical Inc
• New Era Medicine PLLC
• New Heights Psychological Services, PLLC
• New Heights Psychological Services, PLLC
• New Journey Mental Health Counseling PC
• New Leaf Adult & Women's Health NP, PLLC

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.