Organization Active NPI

Paterson Drug Inc

  • Pharmacy
  • Paterson, NJ
National Provider Identifier
1639212533
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00659700 Issued in NJ
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0103659MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930005520 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Paterson Drug Inc430 Madison Ave, Paterson, NJ 07524-2728(973) 278-5808 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 assignmentParticipating since Jul 29, 2013

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.