Active NPI
Pankaj Patel
- Pharmacist
- Haledon, NJ
National Provider Identifier
1902126311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02734600
- Practice address
- 431 Haledon Ave
Haledon, NJ 07508-1555 - Phone
- (973) 904-0550
- Fax
- (973) 790-9055
- NPI assigned
- Jun 8, 2010
- Last updated
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI02734600 | NJ | Primary |
Addresses
Primary practice location
431 Haledon Ave
Haledon, NJ 07508-1555
Mailing address
643 Bloomfield Ave
Nutley, NJ 07110-1534
Phone (973) 661-0766
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 |
|---|---|---|---|
| 28RI02734600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1902126311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 BLOOMFIELD AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101534",
"telephone_number": "973-661-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 HALEDON AVE",
"city": "HALEDON",
"state": "NJ",
"postal_code": "075081555",
"telephone_number": "973-904-0550",
"fax_number": "973-790-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PANKAJ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02734600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.