Organization Active NPI

Sanraj Inc.

Doing business as Iselin pharmacy

  • Pharmacy
  • Iselin, NJ
National Provider Identifier
1437248069
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RI02567900 Issued in NJ
Legal business name
SANRAJ INC.
Doing business as
Iselin pharmacy
Practice address
1186 Green St
Iselin, NJ 08830-2012
Phone
(732) 283-1111
Fax
(732) 283-9633
NPI assigned
Oct 12, 2006
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Mrs. Hiral V Patel, BS
Title
Pharmacist in Charge
Phone
(732) 283-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00514900 NJ
Pharmacy 333600000X 28RI02567900 NJ Primary

Addresses

Primary practice location

1186 Green St
Iselin, NJ 08830-2012

Mailing address

1186 Green St
Iselin, NJ 08830-2012
Phone (732) 283-1111

Other identifiers 2

IdentifierTypeStateIssuer
6641016MedicaidNJ
6641008MedicaidNJ

Other names 1

  • Iselin pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041207 NJ DME Supplier - Pharmacy 5092836130 Practice locations: Iselin, NJ
O20110310000141 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 5092836130 Practice locations: Iselin, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Iselin Pharmacy1186 Green St, Iselin, NJ 08830-2012(732) 283-1111 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Ostomy Supplies|Enteral Nutrients|En… Accepts assignmentParticipating since Nov 10, 2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1437248069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302012",
            "telephone_number": "732-283-1111",
            "fax_number": "732-283-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 GREEN ST",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302012",
            "telephone_number": "732-283-1111",
            "fax_number": "732-283-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANRAJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIRAL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-283-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00514900",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RI02567900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6641016",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6641008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iselin pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.