Organization Active NPI

Angelos Pharmaceutical Services, Inc.

Doing business as Angelo Pharmacy LTC

  • Long Term Care Pharmacy
  • Newark, NJ
National Provider Identifier
1548726813
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ANGELOS PHARMACEUTICAL SERVICES, INC.
Doing business as
Angelo Pharmacy LTC
Practice address
492 Ferry St
Newark, NJ 07105-3925
Phone
(973) 589-6530
NPI assigned
Feb 12, 2019
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Jesus SuarezNPI 1649301615
Title
President
Phone
(973) 589-6530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

492 Ferry St
Newark, NJ 07105-3925

Mailing address

492 Ferry St
Newark, NJ 07105-3925

Other identifiers 1

IdentifierTypeStateIssuer
0066320MedicaidNJ

Other names 1

  • Angelo Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angelo Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1548726813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053925",
            "telephone_number": "973-589-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELOS PHARMACEUTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-6530"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066320",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelo Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.