Active NPI
Bala Ganapati Inc
Doing business as Bergen Pharmacy
- Durable Medical Equipment & Medical Supplies
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 28RS00641800
- Legal business name
- BALA GANAPATI INC
- Doing business as
- Bergen Pharmacy
- Practice address
- 39 E Mount Pleasant Ave
Livingston, NJ 07039 - Phone
- (973) 926-9701
- Fax
- (973) 926-9603
- NPI assigned
- Sep 13, 2017
- Last updated
- Nov 3, 2023
- Organization subpart
- Yes
- Parent organization
- BALA GANAPATI INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rasik M Nagrecha
- Title
- President
- Phone
- (973) 992-1951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28RS00641800 | NJ | Primary |
Addresses
Primary practice location
39 E Mount Pleasant Ave
Livingston, NJ 07039
Mailing address
23 Canoe Brook Dr
Livingston, NJ 07039-6121
Phone (973) 992-1951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049093 | Medicaid | NJ |
Other names 1
- Bergen Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Bala Ganapati Inc
- Part of
- Bala Ganapati Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Livingston, NJ
- NPI 1336758564
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.
-
- Pharmacist
- Livingston, NJ
- NPI 1689951675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1568981330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CANOE BROOK DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070396121",
"telephone_number": "973-992-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 E MOUNT PLEASANT AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-926-9701",
"fax_number": "973-926-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALA GANAPATI INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BALA GANAPATI INC",
"enumeration_date": "2017-09-13",
"last_updated": "2023-11-03",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "NAGRECHA",
"authorized_official_first_name": "RASIK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-992-1951",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "28RS00641800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049093",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bergen Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.