Active NPI
Hisham A Gharib
- Pharmacist
- Nutley, NJ
National Provider Identifier
1780227132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03567400
- Practice address
- 215 Franklin Ave
Nutley, NJ 07110-2708 - Phone
- (736) 676-6779
- Fax
- (973) 667-6675
- NPI assigned
- Oct 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03567400 | NJ | Primary |
Addresses
Primary practice location
215 Franklin Ave
Nutley, NJ 07110-2708
Mailing address
200 Springfield Ave Apt 5021
Springfield, NJ 07081-1443
Phone (973) 883-6809
Other practice location 1
784 Clinton Ave
Newark, NJ 07108-1045
Phone (973) 375-6003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03567400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tesh M LLC | Current | Accepting new patients | |
| Tesh M II LLC | Current | Accepting new patients | |
| Tesh | Past | Accepting new patients |
Locations
215 Franklin Ave
Nutley, NJ 07110
Phone (736) 676-6779
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1780227132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SPRINGFIELD AVE APT 5021",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811443",
"telephone_number": "973-883-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 FRANKLIN AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102708",
"telephone_number": "736-676-6779",
"fax_number": "973-667-6675"
}
],
"practiceLocations": [
{
"address_1": "784 Clinton Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071081045",
"country_code": "US",
"telephone_number": "973-375-6003",
"fax_number": "733-754-8619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHARIB",
"first_name": "HISHAM",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03567400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.