Active NPI
Jennifer Nathalie Mafla, PHARMD
- Pharmacist
- Union, NJ
National Provider Identifier
1588073514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03640300
- Practice address
- 2690 US Highway 22 E
Union, NJ 07083-8512 - Phone
- (908) 688-1244
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- 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 | 28RI03640300 | NJ | Primary |
Addresses
Primary practice location
2690 US Highway 22 E
Union, NJ 07083-8512
Mailing address
884 Westminster Ave
Hillside, NJ 07205-2921
Phone (908) 403-3998
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03640300 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1588073514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 WESTMINSTER AVE",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072052921",
"telephone_number": "908-403-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 US HIGHWAY 22 E",
"city": "UNION",
"state": "NJ",
"postal_code": "070838512",
"telephone_number": "908-688-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFLA",
"first_name": "JENNIFER",
"middle_name": "NATHALIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03640300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.