Active NPI
Maryam Adelizzi
- Pharmacist
- Brooklawn, NJ
National Provider Identifier
1487250338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02856400
- Practice address
- 700 Crescent Blvd
Brooklawn, NJ 08030-2797 - Phone
- (856) 742-0129
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 28RI02856400 | NJ | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02856400 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 Crescent Blvd
Brooklawn, NJ 08030-2797
Mailing address
700 Crescent Blvd
Brooklawn, NJ 08030-2797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2020.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1487250338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CRESCENT BLVD",
"city": "BROOKLAWN",
"state": "NJ",
"postal_code": "080302797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CRESCENT BLVD",
"city": "BROOKLAWN",
"state": "NJ",
"postal_code": "080302797",
"telephone_number": "856-742-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELIZZI",
"first_name": "MARYAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02856400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.