Active NPI
Maged F Abdelmalak
- Pharmacist
- Irvington, NJ
National Provider Identifier
1891347407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03997900
- Practice address
- 1070 Springfield Ave
Irvington, NJ 07111-2407 - Phone
- (862) 255-2804
- NPI assigned
- Jul 13, 2019
- Last updated
- Jul 13, 2019
- 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 | 28RI03997900 | NJ | Primary |
Addresses
Primary practice location
1070 Springfield Ave
Irvington, NJ 07111-2407
Mailing address
2382 E 72ND St
Brooklyn, NY 11234-6618
Phone (718) 737-5232
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 |
|---|---|---|---|
| 28RI03997900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irvington Pharmacy LLC | Current | Accepting new patients |
Locations
1070 Springfield Ave
Irvington, NJ 07111
Phone (862) 255-2804
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Irvington Pharmacy
- Community/Retail Pharmacy
- Irvington, NJ
- NPI 1649799271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562976000000",
"number": "1891347407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2382 E 72ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346618",
"telephone_number": "718-737-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 SPRINGFIELD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112407",
"telephone_number": "862-255-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELMALAK",
"first_name": "MAGED",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-13",
"last_updated": "2019-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03997900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
- A Family's Help
- A Place for the Family LLC (A Place for the Family)
- A Rescue Health Staffing Agency, Inc.
- A&M Pharmacy Department (Value Zone Pharmacy Department)
- Christiana Abara
- Mustafa Shakir Abdus-Salaam, MHS-C, LCADC, LPC
- Adepeju I Adaramola
- Adekunle Adeoti, MD
- Olusegun Bola Adeyemo
- Ehimwenma Adeyin, ED.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.