Individual provider Active NPI

Madhura Bhalerao, PHARMD

  • Pharmacist
  • Ridgewood, NJ
National Provider Identifier
1669915526
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I062010-1 Issued in NY
Practice address
394 Berkshire Rd
Ridgewood, NJ 07450-5504
Phone
(201) 925-8954
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 I062010-1 NY Primary

Addresses

Primary practice location

394 Berkshire Rd
Ridgewood, NJ 07450-5504

Mailing address

394 Berkshire Rd
Ridgewood, NJ 07450-5504
Phone (201) 925-8954

Other identifiers 1

IdentifierTypeStateIssuer
I062010-1OtherNYNY LICENSE NUMBER

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
I062010-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1669915526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 BERKSHIRE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505504",
            "telephone_number": "201-925-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 BERKSHIRE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505504",
            "telephone_number": "201-925-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALERAO",
        "first_name": "MADHURA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I062010-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE NUMBER",
            "identifier": "I062010-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.