NPIMap

Organization Active NPI

Siddhipriya Inc

  • Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1679181101
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SIDDHIPRIYA INC
Doing business as
BERGEN PHARMACY
Practice address
240 Williamson St Ste 101
Elizabeth, NJ 07202-3671
Phone
(908) 994-9700
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Devang Rasik Nagrecha
Title
President
Phone
(973) 632-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

240 Williamson St Ste 101
Elizabeth, NJ 07202-3671

Mailing address

23 Canoe Brook Dr
Livingston, NJ 07039-6121
Phone (973) 632-4994

Other identifiers 1

IdentifierTypeStateIssuer
0392065MedicaidNJ

Other names 1

  • BERGEN PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aj@bergenrx.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Siddhipriya Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1679181101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANOE BROOK DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396121",
            "telephone_number": "973-632-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 101",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023671",
            "telephone_number": "908-994-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHIPRIYA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_middle_name": "RASIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-632-4994"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392065",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aj@bergenrx.com",
            "affiliation": "N",
            "endpointDescription": "aj@bergenrx.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "240 Williamson St Ste 101",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072023671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BERGEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.