Active NPI
Mourad Roshdi
- Pharmacist
- Hazlet, NJ
National Provider Identifier
1366724726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03146800
- Practice address
- 1198 Rte 36
Hazlet, NJ 07730-1713 - Phone
- (732) 264-2881
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03146800 | NJ | Primary |
Addresses
Primary practice location
1198 Rte 36
Hazlet, NJ 07730-1713
Mailing address
38 Van Pelt CT
East Brunswick, NJ 08816-3677
Phone (732) 710-7077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03146800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1366724726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 VAN PELT CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163677",
"telephone_number": "732-710-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 RTE 36",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301713",
"telephone_number": "732-264-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHDI",
"first_name": "MOURAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03146800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.