Active NPI
Bala Ganapati Inc
- Community/Retail Pharmacy
- Livingston, NJ
National Provider Identifier
1841390044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RS00641800
- Legal business name
- BALA GANAPATI INC
- Practice address
- 39 E Mount Pleasant Ave
Livingston, NJ 07039-2027 - Phone
- (973) 926-9701
- Fax
- (973) 923-7721
- NPI assigned
- Sep 25, 2006
- 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
- Rasik Nagrecha
- Title
- President
- Phone
- (073) 926-9701
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RS00641800 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
39 E Mount Pleasant Ave
Livingston, NJ 07039-2027
Mailing address
23 Canoe Brook Drive
Livingston, NJ 07039-3815
Phone (973) 926-9701
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049093 | Medicaid | NJ | |
| 3192185 | Other | OTHER ID NUMBER | |
| 0049107 | Medicaid | NJ |
Other names 1
- BERGEN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930009192 | NJ | DME Supplier - Pharmacy | 3678783610 | Practice locations: Livingston, NJ |
| O20210104001093 | NJ | Part B Supplier - Pharmacy | 3678783610 | Practice locations: Livingston, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Bala Ganapati Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Livingston, NJ
- NPI 1134756810
-
- Durable Medical Equipment & Medical Supplies
- Livingston, NJ
- NPI 1568981330
-
- Pharmacy
- Livingston, NJ
- NPI 1336758564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1841390044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CANOE BROOK DRIVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393815",
"telephone_number": "973-926-9701",
"fax_number": "973-923-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 E MOUNT PLEASANT AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070392027",
"telephone_number": "973-926-9701",
"fax_number": "973-923-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALA GANAPATI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2023-11-03",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "NAGRECHA",
"authorized_official_first_name": "RASIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "073-926-9701"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "RS00641800",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049093",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3192185",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BERGEN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BERGEN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.