Organization Active NPI

Paavan Healthcare LLC

Doing business as Oakland Drugs

  • Community/Retail Pharmacy
  • Oakland, NJ
National Provider Identifier
1487704250
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PAAVAN HEALTHCARE LLC
Doing business as
Oakland Drugs
Practice address
350 Ramapo Valley Rd Ste 27
Oakland, NJ 07436-2712
Phone
(201) 337-7300
Fax
(201) 337-6188
NPI assigned
Jan 11, 2007
Last updated
Dec 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Mrs. Nutan Visawadya
Title
Member
Phone
(201) 337-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

350 Ramapo Valley Rd Ste 27
Oakland, NJ 07436-2712

Mailing address

350 Ramapo Valley Rd Ste 27
Oakland, NJ 07436-2712
Phone (201) 337-7300

Other names 1

  • Oakland Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127001330 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7416345830 Practice locations: Oakland, NJ

National Provider Directory

National Provider Directory

Locations

350 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 337-7300

350 Ramapo Valley Rd
Ste 27
Oakland, NJ 07436
Phone (201) 337-7300

373 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 337-7300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1487704250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD STE 27",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362712",
            "telephone_number": "201-337-7300",
            "fax_number": "201-337-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD STE 27",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362712",
            "telephone_number": "201-337-7300",
            "fax_number": "201-337-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAAVAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "VISAWADYA",
        "authorized_official_first_name": "NUTAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-337-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakland Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.