Active NPI
Paul J Riedinger, BS
- Pharmacist
- Parsippany, NJ
National Provider Identifier
1790060069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02161300
- Practice address
- 1470 Route 46
Parsippany, NJ 07054-2900 - Phone
- (973) 939-2691
- Fax
- (973) 939-2693
- NPI assigned
- Oct 18, 2011
- 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 | 28RI02161300 | NJ | Primary |
Addresses
Primary practice location
1470 Route 46
Parsippany, NJ 07054-2900
Mailing address
1470 Route 46
Parsippany, NJ 07054-2900
Phone (973) 939-2691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02161300 | Other | NJ | PHARMACIST LICENSE |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02161300 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1790060069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 ROUTE 46",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542900",
"telephone_number": "973-939-2691",
"fax_number": "973-939-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 ROUTE 46",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542900",
"telephone_number": "973-939-2691",
"fax_number": "973-939-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDINGER",
"first_name": "PAUL",
"middle_name": "J",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02161300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "28RI02161300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.