Gerard John Kanczewski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

67 Glenmere Ter
Mahwah, NJ 07430-2845

Phone

(201) 394-5969

Fax

(201) 818-5183

NPI assigned

Feb 11, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487795480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GLENMERE TER",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302845",
            "telephone_number": "201-394-5969",
            "fax_number": "201-818-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 GLENMERE TER",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302845",
            "telephone_number": "201-394-5969",
            "fax_number": "201-818-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCZEWSKI",
        "first_name": "GERARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Erin Javer, OTR/L
• Amanda N Jenkins, OTR
• Joseph F. Bednar, DC
• Je Eun Jung, L.AC.
• Colleen R. Kachele, DC
• Sydney Kaplan
• Purva Kashyap
• Betty Keller, MD
• Caitlin Kelly
• Kate Elizabeth Kezmarsky

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.