Active NPI
Bassem K Ghobrial
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1467905455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03698900
- Practice address
- 337 Central Ave
Jersey City, NJ 07307-2919 - Phone
- (201) 653-0357
- NPI assigned
- Jul 26, 2016
- Last updated
- Jan 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03698900 | NJ | Primary |
Addresses
Primary practice location
337 Central Ave
Jersey City, NJ 07307-2919
Mailing address
337 Central Ave
Jersey City, NJ 07307-2919
Phone (201) 653-0357
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03698900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MG RX LLC | Current | 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": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674259200000",
"number": "1467905455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072919",
"telephone_number": "201-653-0357",
"fax_number": "201-217-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072919",
"telephone_number": "201-653-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOBRIAL",
"first_name": "BASSEM",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2023-01-21",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03698900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.