Active NPI
Tesh
Doing business as Clinton Pharmacy & Healthcare Center
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1629116033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RS006810
- Legal business name
- TESH
- Doing business as
- Clinton Pharmacy & Healthcare Center
- Practice address
- 784 Clinton Ave
Newark, NJ 07108-1045 - Phone
- (973) 375-6003
- Fax
- (973) 375-4861
- NPI assigned
- Feb 1, 2007
- Last updated
- Feb 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Ehab Solaman, PHARMD, RPH
- Title
- Pharmacist
- Phone
- (973) 375-6003
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | RS006810 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | RS006810 | NJ | Primary |
Addresses
Primary practice location
784 Clinton Ave
Newark, NJ 07108-1045
Mailing address
784 Clinton Ave
Newark, NJ 07108-1045
Phone (973) 375-6003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189219 | Medicaid | NJ |
Other names 1
- Clinton Pharmacy & Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930017509 | NJ | DME Supplier - Pharmacy | 2961600085 | Practice locations: Newark, NJ |
| O20120801000380 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961600085 | Practice locations: Newark, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tesh | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
784 Clinton Ave
Newark, NJ 07108
Phone (973) 375-6003
Practitioners & affiliated clinicians
Practitioners 6
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
- Newark, NJ
- NPI 1700092210
-
- Pharmacist
- Nutley, NJ
- NPI 1780227132
-
- Pharmacist
- Newark, NJ
- NPI 1285401935
-
- Pharmacist
- Newark, NJ
- NPI 1952795916
-
- Pharmacist
- Newark, NJ
- NPI 1275176463
-
- Pharmacist
- Newark, NJ
- NPI 1346554698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456358400000",
"number": "1629116033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 CLINTON AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071081045",
"telephone_number": "973-375-6003",
"fax_number": "973-375-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 CLINTON AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071081045",
"telephone_number": "973-375-6003",
"fax_number": "973-375-4861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TESH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2016-02-25",
"status": "A",
"authorized_official_last_name": "SOLAMAN",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "EHAB",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "973-375-6003",
"authorized_official_credential": "PHARMD, RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "RS006810",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "RS006810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0189219",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinton Pharmacy & Healthcare Center",
"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 Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.