Individual provider Active NPI

Wahid W Baskaly

  • Pharmacist
  • Jersey City, NJ
National Provider Identifier
1982274668
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04180100 Issued in NJ
Practice address
119 Baldwin Ave Apt 2L
Jersey City, NJ 07306-2031
Phone
(201) 238-7006
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04180100 NJ Primary

Addresses

Primary practice location

119 Baldwin Ave Apt 2L
Jersey City, NJ 07306-2031

Mailing address

119 Baldwin Ave Apt 2L
Jersey City, NJ 07306-2031
Phone (201) 238-7006

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
28RI04180100NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1982274668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BALDWIN AVE APT 2L",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062031",
            "telephone_number": "201-238-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BALDWIN AVE APT 2L",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062031",
            "telephone_number": "201-238-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKALY",
        "first_name": "WAHID",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04180100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.