Organization Active NPI

Woodbridge Medsupply LLC

  • Pharmacy
  • Edison, NJ
National Provider Identifier
1386557338
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WOODBRIDGE MEDSUPPLY LLC
Practice address
4035 Woodbridge Ave
Edison, NJ 08837-3310
Phone
(848) 319-3513
Fax
(833) 542-9030
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Fouzia Khan
Title
Authorized Official
Phone
(848) 319-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4035 Woodbridge Ave
Edison, NJ 08837-3310

Mailing address

4035 Woodbridge Ave
Edison, NJ 08837-3310
Phone (848) 319-3513

Other identifiers 1

IdentifierTypeStateIssuer
627441475MedicaidNJ

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1386557338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 WOODBRIDGE AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373310",
            "telephone_number": "848-319-3513",
            "fax_number": "833-542-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 WOODBRIDGE AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373310",
            "telephone_number": "848-319-3513",
            "fax_number": "833-542-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE MEDSUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FOUZIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "848-319-3513"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627441475",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.