Active NPI
Mahesh Parashotam Koladiya
- Pharmacist
- West New York, NJ
National Provider Identifier
1821488263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03626400
- Practice address
- 101, 64TH Street
Apt # A1
West New York, NJ 07093-5460 - Phone
- (201) 875-2920
- Fax
- (917) 962-4451
- NPI assigned
- Jan 23, 2015
- 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 | 28RI03626400 | NJ | Primary |
Addresses
Primary practice location
101, 64TH Street
Apt # A1
West New York, NJ 07093-5460
Mailing address
101 64TH St
Apt # A1
West New York, NJ 07093-3042
Phone (201) 875-2920
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 |
|---|---|---|---|
| 28RI03626400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1821488263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 64TH ST",
"address_2": "APT # A1",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070933042",
"telephone_number": "201-875-2920",
"fax_number": "917-962-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101, 64TH STREET",
"address_2": "APT # A1",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935460",
"telephone_number": "201-875-2920",
"fax_number": "917-962-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLADIYA",
"first_name": "MAHESH",
"middle_name": "PARASHOTAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03626400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.