Active NPI
Sejal Medic Inc.
- Pharmacy
- Cresskill, NJ
National Provider Identifier
1740291095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 280500631500
- Legal business name
- SEJAL MEDIC INC.
- Doing business as
- Hudson Drug of Cresskill
- Practice address
- 48 Union Ave
Cresskill, NJ 07626 - Phone
- (201) 567-2235
- Fax
- (201) 567-1881
- NPI assigned
- Aug 11, 2006
- 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
- Shreyas S Shah, RPH
- Title
- RPH in Charge President
- Phone
- (201) 567-1881
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 280500631500 | NJ | Primary |
Addresses
Primary practice location
48 Union Ave
Cresskill, NJ 07626
Mailing address
48 Union Ave
Cresskill, NJ 07626
Phone (201) 567-2235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4284003 | Medicaid | NJ |
Other names 1
- Hudson Drug of Cresskill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090831000502 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375698186 | Practice locations: Cresskill, NJ |
| O20240319002992 | NJ | Part B Supplier - Pharmacy | 3375698186 | Practice locations: Cresskill, NJ |
National Provider Directory
National Provider DirectoryLocations
48 Union Ave
Cresskill, NJ 07626
Phone (201) 567-2235
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cresskill, NJ
- NPI 1215228705
-
- Pharmacist
- Cresskill, NJ
- NPI 1588959845
-
- Pharmacist
- Cresskill, NJ
- NPI 1750821518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377129600000",
"number": "1740291095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 UNION AVE",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "07626",
"telephone_number": "201-567-2235",
"fax_number": "201-567-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 UNION AVE",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "07626",
"telephone_number": "201-567-2235",
"fax_number": "201-567-1881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEJAL MEDIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2013-08-22",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SHREYAS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "RPH IN CHARGE PRESIDENT",
"authorized_official_telephone_number": "201-567-1881",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "280500631500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4284003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hudson Drug of Cresskill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cresskill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.