Active NPI
Paterson Drug Inc
- Pharmacy
- Paterson, NJ
National Provider Identifier
1639212533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00659700
- Legal business name
- PATERSON DRUG INC
- Practice address
- 430 Madison Ave
Paterson, NJ 07524-2728 - Phone
- (973) 278-5808
- Fax
- (973) 278-3547
- NPI assigned
- Feb 14, 2007
- Last updated
- Apr 29, 2026
- 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
- Mr. Chetan Gandhi, RPH
- Title
- President, Pharmacist
- Phone
- (973) 278-5808
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00659700 | NJ | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
430 Madison Ave
Paterson, NJ 07524-2728
Mailing address
430 Madison Ave
Paterson, NJ 07524-2728
Phone (973) 278-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103659 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930005520 | NJ | DME Supplier - Pharmacy | 3274746060 | Practice locations: Paterson, NJ |
| O20130906000117 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274746060 | Practice locations: Paterson, 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 |
|---|---|---|
| Paterson Drug Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: … | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
430 Madison Ave
Paterson, NJ 07524
Phone (973) 278-5808
Practitioners & affiliated clinicians
Practitioners 3
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
- Perth Amboy, NJ
- NPI 1447920632
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Jersey City, NJ
- NPI 1902570369
-
- Pharmacist
- Paterson, NJ
- NPI 1295954436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1639212533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MADISON AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075242728",
"telephone_number": "973-278-5808",
"fax_number": "973-278-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MADISON AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075242728",
"telephone_number": "973-278-5808",
"fax_number": "973-278-3547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATERSON DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "CHETAN",
"authorized_official_title_or_position": "PRESIDENT, PHARMACIST",
"authorized_official_telephone_number": "973-278-5808",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00659700",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103659",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.