Organization Active NPI

Sejal Medic Inc.

  • Pharmacy
  • Cresskill, NJ
National Provider Identifier
1740291095
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
280500631500 Issued in NJ
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

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Shreyas S Shah, RPHNPI 1215228705
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4284003MedicaidNJ

Other names 1

  • Hudson Drug of Cresskill Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.