Siddhivinayak Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28R00581900 Issued in NJ

Legal business name

SIDDHIVINAYAK INC

Practice address

90 Bergen St
Suite 1600
Newark, NJ 07103-2425

Phone

(973) 972-1960

Fax

(973) 972-8158

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rasik M Nagrecha, RPH

Title

President

Phone

(973) 972-1960

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BERGEN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Siddhivinayak Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Siddhivinayak Inc

  • Durable Medical Equipment & Medical Supplies
  • Newark, NJ
  • NPI 1073032843
  NPD tax ID
• Siddhivinayak Inc.

  • Pharmacy
  • Newark, NJ
  • NPI 1043828577
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandresh Dhebaria, RPH

  • Pharmacist
  • Newark, NJ
  • NPI 1952688632
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1801996053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANOE BROOK DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396121",
            "telephone_number": "973-972-1960",
            "fax_number": "973-972-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "address_2": "SUITE 1600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-1960",
            "fax_number": "973-972-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHIVINAYAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "NAGRECHA",
        "authorized_official_first_name": "RASIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-972-1960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28R00581900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3142053",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8172510",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8172501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERGEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dhiraj Raju Sibala
• Jon F Sicat, D.O.
• Anna Theresa Sicilia, DO, MPH
• Cindy Sickora, RN, MSN
• Siddhivinayak Inc
• Siddhivinayak Inc.
• Madheea Siddiqi, M.D
• Muhammad A Siddiqui
• Murtaza Siddiqui, MD
• Ozair Salim Siddiqui, MD

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.

Verify at the official NPI Registry.