Kerolos Samy, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04338600 Issued in NJ

Practice address

675 Paterson Ave
Carlstadt, NJ 07072-1601

Phone

(201) 842-9985

NPI assigned

Oct 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Stop and Shop Supermarket Co LLC

  • Community/Retail Pharmacy
  • Carlstadt, NJ
  • NPI 1821020777
  NPD (past)
• Stop and Shop Supermarket Co LLC

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1467224337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PATERSON AVE",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PATERSON AVE",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721601",
            "telephone_number": "201-842-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMY",
        "first_name": "KEROLOS",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04338600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajar Patel, PHARM D
• Rehab Potential Inc
• Rehability Physical Therapy, LLC
• Gerald Vincent Rizzo, DMD
• Maria Helena Ruszkiewicz
• Joseph Smolinski, LCSW
• Sovereign Health Imaging, LLC
• Sovereign Health Imaging, LLC
• Sovereign Medical Group LLC
• Sovereign Medical Group, LLC

• Pharmacist in Carlstadt, NJ
• Providers in Carlstadt, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.