Active NPI
Dipen Dutta
- Pharmacist
- Edison, NJ
National Provider Identifier
1720334196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045604
- Practice address
- 281 Savoy Ave
Edison, NJ 08820-1610 - Phone
- (732) 388-5356
- NPI assigned
- Aug 3, 2012
- 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 | 045604 | NY | Primary |
Addresses
Primary practice location
281 Savoy Ave
Edison, NJ 08820-1610
Mailing address
281 Savoy Ave
Edison, NJ 08820-1610
Phone (732) 388-5356
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045604 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1720334196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 SAVOY AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201610",
"telephone_number": "732-388-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 SAVOY AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201610",
"telephone_number": "732-388-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTA",
"first_name": "DIPEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.