Guardian Pharmacy of New Jersey LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF NEW JERSEY LLC

Doing business as

FREEDOM PHARMACY

Practice address

1248 Sussex Tpke # B9
Randolph, NJ 07869-2908

Phone

(862) 352-5530

Fax

(862) 352-3661

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Linda Witzal

Title

President/Owner

Phone

(862) 352-5530

Specialties & licenses 3

Addresses

Other names 1

• FREEDOM PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1891511416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 SUSSEX TPKE # B9",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692908",
            "telephone_number": "862-352-5530",
            "fax_number": "862-352-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 SUSSEX TPKE # B9",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692908",
            "telephone_number": "862-352-5530",
            "fax_number": "862-352-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WITZAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "862-352-5530"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://freedomrxnj.wixsite.com/freedomrx",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "1248 Sussex Tpke # B9",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078692908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FREEDOM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly Gresko, LCSW
• Nancy Jean Griffin, NP
• Ellen J Gross, LCSW
• Sheila Gudis, MS/SLP
• Steven Mark Gudis, M.D.
• Julio C Guerra, MD
• Rachna Gupta, M.D.
• Janine Guzman, BCBA

• Long Term Care Pharmacy in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.