Jeongju Ahn

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

28RI03152100 Issued in NJ

Practice address

25 Route 31 S Ste T
Pennington, NJ 08534-2511

Phone

(609) 737-0900

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1497140396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROUTE 31 S STE T",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342511",
            "telephone_number": "609-737-0900",
            "fax_number": "609-737-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROUTE 31 S STE T",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342511",
            "telephone_number": "609-737-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Parkway Ave",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086182317",
            "country_code": "US",
            "telephone_number": "609-882-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHN",
        "first_name": "JEONGJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03152100",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03152100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advancing Opportunities, Inc.
• Advocare LLC
• Rashmi Agrawal, DMD
• Ahmad Farzad MD PA
• Nazish Ahmad, M.D
• Diane Ailey, L.AC.
• Elisabeth Aiyeleso, PMHNP-BC
• Shajla Ajas, MD
• Sasha Akinwumi, APN
• Mageda Dawod Al Areqi, MD

• All providers in Pennington, NJ
• Pharmacotherapy Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.