Individual provider Active NPI

Piotr Komosinski, RPH

  • Pharmacist
  • Bayonne, NJ
National Provider Identifier
1457673576
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02674000 Issued in NJ
Practice address
455 Broadway
Bayonne, NJ 07002-7112
Phone
(201) 339-1992
Fax
(201) 339-3616
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 28RI02674000 NJ Primary

Addresses

Primary practice location

455 Broadway
Bayonne, NJ 07002-7112

Mailing address

455 Broadway
Bayonne, NJ 07002-7112
Phone (201) 339-1992

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02674000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1457673576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-339-1992",
            "fax_number": "201-339-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-339-1992",
            "fax_number": "201-339-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOSINSKI",
        "first_name": "PIOTR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02674000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.