Active NPI
Alan Richard Zeitlin
- Pharmacist
- Hazlet, NJ
National Provider Identifier
1538337134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R13696
- Practice address
- 3020 Highway 35
Pathmark Pharmacy
Hazlet, NJ 07730-1505 - Phone
- (732) 739-2302
- Fax
- (732) 264-0730
- NPI assigned
- Feb 15, 2008
- Last updated
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R13696 | NJ | Primary |
Addresses
Primary practice location
3020 Highway 35
Pathmark Pharmacy
Hazlet, NJ 07730-1505
Mailing address
3020 Highway 35
Pathmark Pharmacy
Hazlet, NJ 07730-1505
Phone (732) 739-2302
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 |
|---|---|---|---|
| R13696 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients | |
| Pathmark Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1538337134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HIGHWAY 35",
"address_2": "PATHMARK PHARMACY",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301505",
"telephone_number": "732-739-2302",
"fax_number": "732-264-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HIGHWAY 35",
"address_2": "PATHMARK PHARMACY",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301505",
"telephone_number": "732-739-2302",
"fax_number": "732-264-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEITLIN",
"first_name": "ALAN",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "R13696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.