Individual provider Active NPI

Ari Fishkin, PHARMD

  • Pharmacist
  • Maywood, NJ
National Provider Identifier
1437480803
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RIO3267400 Issued in NJ
Practice address
102 W Pleasant Ave
Maywood, NJ 07607-1336
Phone
(201) 880-5290
NPI assigned
Jan 24, 2010
Last updated
Jan 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RIO3267400 NJ Primary

Addresses

Primary practice location

102 W Pleasant Ave
Maywood, NJ 07607-1336

Mailing address

841 Winthrop Rd
Teaneck, NJ 07666-2265
Phone (201) 287-0556

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
28RIO3267400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maywood RX Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264291200000",
    "number": "1437480803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 WINTHROP RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662265",
            "telephone_number": "201-287-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PLEASANT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071336",
            "telephone_number": "201-880-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHKIN",
        "first_name": "ARI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RIO3267400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.