Active NPI
Jay Panchal
- Pharmacist
- Netcong, NJ
National Provider Identifier
1801564414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03728100
- Practice address
- 17 Maple Avenue
Netcong, NJ 07857-1125 - Phone
- (973) 347-0068
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 28RI03728100 | NJ | Primary |
Addresses
Primary practice location
17 Maple Avenue
Netcong, NJ 07857-1125
Mailing address
17 Maple Ave
Netcong, NJ 07857-1125
Phone (973) 347-0068
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 |
|---|---|---|---|
| 28RI03728100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Netcong Pharmacy Inc | Current | Accepting new patients |
Locations
17 Maple Ave
Netcong, NJ 07857
Phone (973) 347-0068
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1801564414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MAPLE AVE",
"city": "NETCONG",
"state": "NJ",
"postal_code": "078571125",
"telephone_number": "973-347-0068",
"fax_number": "973-347-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MAPLE AVENUE",
"city": "NETCONG",
"state": "NJ",
"postal_code": "078571125",
"telephone_number": "973-347-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03728100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Netcong, NJ
- Nedgee Louis, RN
- Netcong Elementary School
- Netcong Pharmacy Inc (Lakeland Pharmacy)
- Netcong Physical Therapy
- Colleen Ann O'Rourke, RPH
- Christian J Petino, MA, MS, PT, OCS
- Perpetual Quarranttey
- Resilient Minds Psychological Services LLC
- Ronetco Supermarkets, Inc (Shop Rite of Netcong Pharmacy)
- Lisa Ann Schuffenhauer, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.