Individual provider Active NPI

Estela Blaustein, RPH, FAARM

  • Pharmacotherapy Pharmacist
  • Fair Lawn, NJ
National Provider Identifier
1619358728
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
28RI02535000 Issued in NJ
Practice address
3110 Promenade Blvd
Fair Lawn, NJ 07410-2777
Phone
(201) 543-3640
Fax
(201) 781-5686
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 28RI02535000 NJ Primary

Addresses

Primary practice location

3110 Promenade Blvd
Fair Lawn, NJ 07410-2777

Mailing address

3110 Promenade Blvd
Fair Lawn, NJ 07410-2777
Phone (201) 543-3640

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02535000NJMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jiffy Scripts RX, LLC Past Accepting new patients
Premier Medical Equipment, LLC 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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1619358728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 PROMENADE BLVD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102777",
            "telephone_number": "201-543-3640",
            "fax_number": "201-781-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 PROMENADE BLVD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102777",
            "telephone_number": "201-543-3640",
            "fax_number": "201-781-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "ESTELA",
        "credential": "RPH, FAARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI02535000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.