Organization Active NPI

Parabhram LLC

  • Pharmacy
  • Matawan, NJ
National Provider Identifier
1871975037
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PARABHRAM LLC
Doing business as
MATAWAN PHARMACY
Practice address
1070 Route 34 Ste K
Matawan, NJ 07747-3468
Phone
(863) 604-0799
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Mayez Enver
Title
Owner
Phone
(732) 595-8205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1070 Route 34 Ste K
Matawan, NJ 07747-3468

Mailing address

1070 Route 34 Ste K
Matawan, NJ 07747-3468

Other names 1

  • MATAWAN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20161024000268 NJ Part B Supplier - Pharmacy 7214215433 Practice locations: Matawan, NJ
O20161209001117 NJ DME Supplier - Pharmacy 7214215433 Practice locations: Matawan, NJ
O20241001000184 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7214215433 Practice locations: Matawan, NJ

National Provider Directory

National Provider Directory
Tax ID family
Parabhram LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1070 State Route 34
Ste K
Matawan, NJ 07747
Phone (732) 705-3722

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1871975037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ROUTE 34 STE K",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 ROUTE 34 STE K",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473468",
            "telephone_number": "863-604-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARABHRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "ENVER",
        "authorized_official_first_name": "MAYEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-595-8205"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATAWAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MATAWAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.