Active NPI
Rajendra P Appalaneni
- Pharmacist
- Saddle River, NJ
National Provider Identifier
1417109745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9648
- Practice address
- 62 Stoney Ridge Rd
Saddle River, NJ 07458-2510 - Phone
- (917) 568-9000
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 9648 | CT | Primary |
Addresses
Primary practice location
62 Stoney Ridge Rd
Saddle River, NJ 07458-2510
Mailing address
62 Stoney Ridge Rd
Saddle River, NJ 07458-2510
Phone (917) 568-9000
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 |
|---|---|---|---|
| 9648 | CT | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1417109745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 STONEY RIDGE RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582510",
"telephone_number": "917-568-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 STONEY RIDGE RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582510",
"telephone_number": "917-568-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPALANENI",
"first_name": "RAJENDRA",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "9648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.