Active NPI
Raymond Hawash, PHARMD
- Pharmacist
- Ridgewood, NJ
National Provider Identifier
1679058200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02947900
- Practice address
- 223 North Van Dien Ave
Ridgewood, NJ 07450 - NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02947900 | NJ | Primary |
Addresses
Primary practice location
223 North Van Dien Ave
Ridgewood, NJ 07450
Mailing address
77 Wyandotte Ave
Dumont, NJ 07628
Phone (201) 693-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02947900 | Other | NJ | STATE PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02947900 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1679058200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WYANDOTTE AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "07628",
"telephone_number": "201-693-3901",
"fax_number": "201-389-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NORTH VAN DIEN AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWASH",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02947900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "28RI02947900",
"state": "NJ"
}
],
"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 Sep 28, 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.