Active NPI
Medwiz of New Jersey LLC
- Long Term Care Pharmacy
- Cherry Hill, NJ
National Provider Identifier
1962165316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MEDWIZ OF NEW JERSEY LLC
- Practice address
- 2096 Springdale Rd
Cherry Hill, NJ 08003-2046 - Phone
- (856) 403-3800
- Fax
- (856) 403-3805
- NPI assigned
- Oct 21, 2021
- Last updated
- Jan 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aron Ungar
- Title
- Cfo
- Phone
- (845) 624-8080
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary | |
| Specialty Pharmacy | 3336S0011X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
2096 Springdale Rd
Cherry Hill, NJ 08003-2046
Mailing address
167 Route 304
Bardonia, NY 10954-2050
Phone (856) 403-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230106000174 | NJ | Part B Supplier - Pharmacy | 5597135673 | Practice locations: Cherry Hill, NJ |
| O20230323001209 | NJ | DME Supplier - Pharmacy | 5597135673 | Practice locations: Cherry Hill, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medwiz of New Jersey LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2096 Springdale Rd
Cherry Hill, NJ 08003
Phone (856) 403-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Cherry Hill, NJ
- NPI 1104158773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1962165316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 ROUTE 304",
"city": "BARDONIA",
"state": "NY",
"postal_code": "109542050",
"telephone_number": "856-403-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2096 SPRINGDALE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032046",
"telephone_number": "856-403-3800",
"fax_number": "856-403-3805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDWIZ OF NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A",
"authorized_official_last_name": "UNGAR",
"authorized_official_first_name": "ARON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "845-624-8080",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- Medexpress Urgent Care - New Jersey, Inc (MedExpress Urgent Care - Cherry Hill)
- Leslie J Medina, LMT
- Polly Gay Belmonte Medina, PT
- Medscare LLC
- Medscare LLC (Lamberts Pharmacy)
- Mary Katherine Meeker, PT, DPT
- Megaplus Health Service
- Megaplus Health Service LLC
- Oxana Megherea, PHARMD
- Erin Nicole Megill, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.