Ayat Belal Elsisi, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03869400 Issued in NJ

Practice address

45 Central Ave
Clark, NJ 07066-1421

Phone

(732) 882-1057

Fax

(732) 943-3784

NPI assigned

Feb 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790176584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 US HIGHWAY 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174418",
            "telephone_number": "732-985-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661421",
            "telephone_number": "732-882-1057",
            "fax_number": "732-943-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088174418",
            "country_code": "US",
            "telephone_number": "732-985-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSISI",
        "first_name": "AYAT",
        "middle_name": "BELAL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NJ",
            "license": "28RW02093400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03869400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa M Drew, DPT
• Natalie V Duffus
• Jaime Cuyle Dydak, FNP-C
• Jonathan Eaton, DPT
• Leslie Ann Echols, APRN
• Adam Eltouny, LPC
• Envision Therapy Practice, LLC
• Epic Health Services, Inc. (Aveanna Healthcare)
• Dawn Espaillat, MS ED, BCBA, NYLBA
• Lisa Espina, MS CCC-SLP

• Pharmacist in Clark, NJ
• Providers in Clark, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.