Active NPI
Liss Medical Arts Pharmacy & Surgical Inc.
- Community/Retail Pharmacy
- Summit, NJ
National Provider Identifier
1770636649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RS04882
- Legal business name
- LISS MEDICAL ARTS PHARMACY & SURGICAL INC.
- Practice address
- 33 Overlook Rd
Suite 102
Summit, NJ 07901-3570 - Phone
- (908) 522-0111
- NPI assigned
- Jan 22, 2007
- 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
- Mr. Kunal S Shah
- Title
- Owner
- Phone
- (908) 522-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RS04882 | NJ | Primary |
Addresses
Primary practice location
33 Overlook Rd
Suite 102
Summit, NJ 07901-3570
Mailing address
33 Overlook Rd
Suite 102
Summit, NJ 07901-3570
Phone (908) 522-0111
Other names 1
- Liss Medical Arts Pharmacy
National Provider Directory
National Provider DirectoryLocations
33 Overlook Rd
Ste 102
Summit, NJ 07901
Phone (908) 522-0111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1770636649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "SUITE 102",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-522-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "SUITE 102",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-522-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISS MEDICAL ARTS PHARMACY & SURGICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KUNAL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-522-0111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "RS04882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liss Medical Arts Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.