Fady Botrous

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

28RW03442300 Issued in NJ

Practice address

501 New Brunswick Ave
Perth Amboy, NJ 08861-3653

Phone

(732) 376-1600

Fax

(732) 376-1602

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By the provider in NPPES

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

State licenses

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.

• Raritan Bay Pharmacy Inc

  • Long Term Care Pharmacy
  • Perth Amboy, NJ
  • NPI 1225985849
  Authorized official Same address or phone
• Raritan Bay Pharmacy Inc

  dba Raritan Bay Pharmacy and Surgical

  • Pharmacist
  • Perth Amboy, NJ
  • NPI 1851460653
  Authorized official Same address or phone

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1518713056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E CLAY AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042033",
            "telephone_number": "732-376-1600",
            "fax_number": "732-376-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613653",
            "telephone_number": "732-376-1600",
            "fax_number": "732-376-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROUS",
        "first_name": "FADY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NJ",
            "license": "28RW03442300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahesh H Bhagat, MD
• Chastity Michelle Biagiotti, MA, LPC, NCC
• Blueline Transportation
• Sarita Bontu, DH
• Marci Booth, LCSW
• Kendra Brewster
• Pamela Brug, MD
• Diana Bucolo-Van Dyke, DDS, MPH
• Buena Care Pharmacy Inc (Ez Rx Pharmacy & Compounding)
• Migdalis A Bueno, MSW

• Pharmacy Technician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pharmacy Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.