Individual provider Active NPI

Ajith Mattathil Purayidathil Cherian, PHARMD

  • Pharmacist
  • Hopatcong, NJ
National Provider Identifier
1760897474
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03541400 Issued in NJ
Practice address
47 Hopatchung Rd
Hopatcong, NJ 07843
Phone
(973) 398-5647
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03541400 NJ Primary

Addresses

Primary practice location

47 Hopatchung Rd
Hopatcong, NJ 07843

Mailing address

30 Edwards Rd
Parsippany, NJ 07054-2201
Phone (973) 572-3137

Other names 1

  • Mr. Ajith Cherian Other name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03541400NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1760897474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EDWARDS RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542201",
            "telephone_number": "973-572-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HOPATCHUNG RD",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "07843",
            "telephone_number": "973-398-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTATHIL PURAYIDATHIL CHERIAN",
        "first_name": "AJITH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJITH",
            "last_name": "CHERIAN",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.