Siddhipriya Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

28RS00728000 Issued in NJ

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

Sep 18, 2017

Organization subpart

Yes

Parent organization

SIDDHIPRIYA INCAs reported in NPPES

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

Authorized official

Name

Mr. Devang Nagrecha

Title

President

Phone

(973) 632-4994

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bergen Pharmacy Doing business as

Tax ID family

Siddhipriya Inc2 organizations share this tax ID, including this one

Part of

Siddhipriya Inc

Other organizations with this tax ID 1

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

• Siddhipriya Inc

  • Pharmacy
  • Elizabeth, NJ
  • NPI 1679181101
  NPD tax ID

Locations

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1720507155",
    "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": "YES",
        "parent_organization_legal_business_name": "SIDDHIPRIYA INC",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-632-4994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00728000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392065",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pranav Sanjay Shukla, MD
• Russ Honor Shulkes, LSW
• Siddhi Ganesha Inc
• Siddhi Ganesha Inc
• Siddhipriya Inc
• Siddhipriya Inc
• Rehan Siddiqui, M.D.
• Pardeep Kaur Sidhu, DDS
• Elizabeth Siegel, LCSW
• Ofelia Sigarroa, RNC

• Durable Medical Equipment & Medical Supplies in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.