Individual provider Active NPI

Nargiz Suleymanova

  • Pharmacist
  • Englewood, NJ
National Provider Identifier
1457670168
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054225 Issued in NY
Practice address
40 Nathaniel PL
Englewood, NJ 07631-2736
Phone
(201) 816-8330
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 054225 NY Primary

Addresses

Primary practice location

40 Nathaniel PL
Englewood, NJ 07631-2736

Mailing address

6601 Burns St Apt 2C
Rego Park, NY 11374-3901
Phone (347) 755-9595

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

LicenseStateTypeSpecialty
054225NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1457670168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 BURNS ST APT 2C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743901",
            "telephone_number": "347-755-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NATHANIEL PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312736",
            "telephone_number": "201-816-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEYMANOVA",
        "first_name": "NARGIZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.