Individual provider Active NPI

Emad Mekhaeil

  • Pharmacist
  • Upper Saddle River, NJ
National Provider Identifier
1972209369
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04291100 Issued in NJ
Practice address
65 Chestnut Dr
Upper Saddle River, NJ 07458-2349
Phone
(201) 805-2802
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04291100 NJ Primary

Addresses

Primary practice location

65 Chestnut Dr
Upper Saddle River, NJ 07458-2349

Mailing address

65 Chestnut Dr
Upper Saddle River, NJ 07458-2349
Phone (201) 805-2802

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

LicenseStateTypeSpecialty
28RI04291100NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1972209369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CHESTNUT DR",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582349",
            "telephone_number": "201-805-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CHESTNUT DR",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582349",
            "telephone_number": "201-805-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHAEIL",
        "first_name": "EMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04291100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.