Individual provider Active NPI

Aidan Sean Ziobro, PHARMD

  • Pharmacist
  • Kearny, NJ
National Provider Identifier
1396388682
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04040100 Issued in NJ
Practice address
50 Passaic Ave Apt 303
Kearny, NJ 07032-1155
Phone
(908) 721-2419
NPI assigned
Oct 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04040100 NJ Primary

Addresses

Primary practice location

50 Passaic Ave Apt 303
Kearny, NJ 07032-1155

Mailing address

50 Passaic Ave Apt 303
Kearny, NJ 07032-1155
Phone (908) 721-2419

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04040100NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1396388682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PASSAIC AVE APT 303",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321155",
            "telephone_number": "908-721-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PASSAIC AVE APT 303",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321155",
            "telephone_number": "908-721-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOBRO",
        "first_name": "AIDAN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-20",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04040100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.