NPIMap

Organization Active NPI

Walgreens Health Medical Group New Jersey P.C.

  • Clinic/Center
  • Springfield, NJ
National Provider Identifier
1427749662
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WALGREENS HEALTH MEDICAL GROUP NEW JERSEY P.C.
Doing business as
Walgreens Health
Practice address
899 Mountain Ave
Springfield, NJ 07081-3455
Phone
(866) 740-7721
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Sashidaran Moodley, M.D.
Title
President
Phone
(312) 982-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

899 Mountain Ave
Springfield, NJ 07081-3455

Mailing address

108 Wilmot Rd
Deerfield, IL 60015-5145

Other names 1

  • Walgreens Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1427749662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WILMOT RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813455",
            "telephone_number": "866-740-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS HEALTH MEDICAL GROUP NEW JERSEY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MOODLEY",
        "authorized_official_first_name": "SASHIDARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-982-1242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walgreens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.