Individual provider Active NPI

Nardine Sedfawy

  • Pharmacist
  • North Middletown, NJ
National Provider Identifier
1659821072
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03825900 Issued in NJ
Practice address
37 Bonnie Dr
North Middletown, NJ 07748-5107
Phone
(732) 476-8023
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03825900 NJ Primary

Addresses

Primary practice location

37 Bonnie Dr
North Middletown, NJ 07748-5107

Mailing address

37 Bonnie Dr
North Middletown, NJ 07748-5107
Phone (732) 476-8023

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

State licenses

LicenseStateTypeSpecialty
28RI03825900NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1659821072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BONNIE DR",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485107",
            "telephone_number": "732-476-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BONNIE DR",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485107",
            "telephone_number": "732-476-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDFAWY",
        "first_name": "NARDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03825900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.