Active NPI
Pharmacotherapy LLC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Hillside, NJ
National Provider Identifier
1679041628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- PHARMACOTHERAPY LLC
- Practice address
- 58 Blackburn Rd
Hillside, NJ 07205 - Phone
- (908) 553-7094
- Fax
- (908) 751-0006
- NPI assigned
- Nov 7, 2018
- 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
- Dr. Christopher Aaron Rambaran, DNP
- Title
- Doctor of Nursing Practice
- Phone
- (908) 553-7094
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
58 Blackburn Rd
Hillside, NJ 07205
Mailing address
58 Blackburn Rd
Hillside, NJ 07205-2522
Phone (908) 553-7094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114471372 | Medicaid | NJ |
Other names 1
- Pharmcotherapy LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hillside, NJ
- NPI 1114471372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541548800000",
"number": "1679041628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BLACKBURN RD",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072052522",
"telephone_number": "908-553-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BLACKBURN RD",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "07205",
"telephone_number": "908-553-7094",
"fax_number": "908-751-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A",
"authorized_official_last_name": "RAMBARAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
"authorized_official_telephone_number": "908-553-7094",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114471372",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmcotherapy LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.