Active NPI
Joseph Gerald Conzolo
- Pharmacist
- Berkeley Heights, NJ
National Provider Identifier
1841505476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28R102030400
- Practice address
- 44 Sherbrook Dr
Berkeley Heights, NJ 07922-2346 - Phone
- (908) 591-1829
- Fax
- (908) 722-6859
- NPI assigned
- Aug 6, 2010
- 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 | 28R102030400 | NJ | Primary |
Addresses
Primary practice location
44 Sherbrook Dr
Berkeley Heights, NJ 07922-2346
Mailing address
44 Sherbrook Dr
Berkeley Heights, NJ 07922-2346
Phone (908) 591-1829
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 |
|---|---|---|---|
| 28R102030400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1841505476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SHERBROOK DR",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222346",
"telephone_number": "908-591-1829",
"fax_number": "908-722-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 SHERBROOK DR",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222346",
"telephone_number": "908-591-1829",
"fax_number": "908-722-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONZOLO",
"first_name": "JOSEPH",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R102030400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.