MS. MARYAM JAVDAN (NPI# 1073895769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073895769 |
| Entity Type | Individual |
| Full Name | MS. MARYAM JAVDAN |
| Credential | PHARM D |
| Practice Address |
241 N Washington Ave Bergenfield NJ 07621-1357 |
| Practice Telephone | 2013840964 |
| Practice Fax Number | 2013870154 |
| Mailing Telephone | 2013840964 |
| Mailing Fax Number | 2013870154 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03152600 | NJ | Pharmacy Service Providers |
| Street Address |
241 N WASHINGTON AVE |
| City | BERGENFIELD |
| State | NJ |
| Zip Code | 07621-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386872976 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 241 N Washington Ave, Bergenfield, NJ 07621 | 2009-06-23 |
| 1427325539 | Zena Shammas | Pharmacist | 241 N Washington Ave, Bergenfield, NJ 07621-1357 | 2011-11-18 |
| 1023390564 | Slava Kacherov | Pharmacist | 241 N Washington Ave, Bergenfield, NJ 07621-1357 | 2011-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952115 | Sublime Therapy | Massage Therapist | 80 N Washington Ave, Unite L4, Bergenfield, NJ 07621 | 2018-08-15 |
| 1619487824 | Perseverance A Okai Adjetey | Registered Nurse | 23 Lake Street, Bergenfield, NJ 07621 | 2017-10-03 |
| 1285144469 | Stacie Lynn Morvay | Nurse Practitioner | 129 Liberty Rd Apt B, Bergenfield, NJ 07621 | 2017-10-02 |
| 1295254308 | Keren Nussbaum | Speech-Language Pathologist | 60 Glenwood Drive S, Bergenfield, NJ 07621 | 2017-09-11 |
| 1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
| 1154782969 | Martine Meleance | Counselor | 386 West Main St, Berganfield, NJ 07621 | 2016-03-08 |
| 1609257591 | Maria C. Stone, Lcsw, LLC | Social Worker | 29 Legion Drive, Bergenfield, NJ 07621 | 2015-06-16 |
| 1003219536 | Ismile Dental Associates | Dentist | 22 N Washington Ave., Bergenfield, NJ 07621 | 2014-09-29 |
| 1710399415 | Maria Rena Penecilla | Registered Nurse | 74 Madison Ave, Bergenfield, NJ 07621 | 2014-05-29 |
| 1619394954 | Russell L Sadang | Physical Therapist | 103 Carnation St, Bergenfield, NJ 07621 | 2014-03-25 |
| Find all providers in zip 07621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376991604 | Jeby Mathew | Pharmacist | 104 Stillman Ave, Bergenfield, NJ 07621-1231 | 2016-05-26 |
| 1396084679 | Elsayed M Abdelhamid | Pharmacist | 217 Phelps Ave, Bergenfield, NJ 07621-1452 | 2013-02-07 |
| 1861753246 | Cicero Tanalgo Coloma | Pharmacist | 221 Hickory Ave, Bergenfield, NJ 07621-1844 | 2012-06-02 |
| 1558632950 | Fong Jolly Cheung | Pharmacist | 31 Scott Dr, Bergenfield, NJ 07621-3131 | 2012-01-18 |
| 1629397880 | Ladan Notghi | Pharmacist | 10 Portland Ave, Bergenfield, NJ 07621-2305 | 2010-05-26 |
| 1508185125 | Thomas Francis Nuzzi | Pharmacist | 10 Portland Ave., Bergenfield, NJ 07621-2305 | 2010-05-21 |
| 1578882338 | Paul Kevin Neiderhofer | Pharmacist | 425 S Washington Ave, Bergenfield, NJ 07621-4313 | 2010-05-19 |
| 1457300519 | James Anthony Detura | Pharmacist | 114 E Clinton Ave, Bergenfield, NJ 07621-3024 | 2006-05-08 |
| 1124019070 | Neal Neumann | Pharmacist | 166 Baker Ave, Bergenfield, NJ 07621-3323 | 2005-10-31 |
| 1518578152 | Samantha Zacher | Pharmacist | 406 S Washington Ave, Bergenfield, NJ 07621-4312 | 2020-08-16 |
| Find all providers in BERGENFIELD | ||||
| City | BERGENFIELD |
| Zip Code | 07621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.