Active NPI
New Bergenfield Pharmacy Inc
- Community/Retail Pharmacy
- Bergenfield, NJ
National Provider Identifier
1790468262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NEW BERGENFIELD PHARMACY INC
- Practice address
- 36 S Washington Ave
Bergenfield, NJ 07621-2395 - Phone
- (201) 375-6844
- NPI assigned
- Aug 10, 2023
- 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
- Faizan Nawaz
- Title
- President
- Phone
- (201) 375-6844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
36 S Washington Ave
Bergenfield, NJ 07621-2395
Mailing address
36 S Washington Ave
Bergenfield, NJ 07621-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231106000025 | NJ | Part B Supplier - Pharmacy | 6709233299 | Practice locations: Bergenfield, NJ |
National Provider Directory
National Provider DirectoryLocations
36 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 375-6844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1790468262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 S WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212395",
"telephone_number": "201-375-6844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BERGENFIELD PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "NAWAZ",
"authorized_official_first_name": "FAIZAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-375-6844"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.