MR. THEODORE PAUL MASOTTI (NPI# 1518979186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518979186 |
| Entity Type | Individual |
| Full Name | MR. THEODORE PAUL MASOTTI |
| Credential | PHARMACIST |
| Practice Address |
211 Hackensack Street Wood Ridge NJ 07075 |
| Practice Telephone | 2014386809 |
| Practice Fax Number | 2014386817 |
| Mailing Telephone | 2014386809 |
| Mailing Fax Number | 2014386817 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NARP | 3905966 | 01 | |
| NJ | 4266005 | 05 |
| Street Address |
211 HACKENSACK STREET |
| City | WOOD RIDGE |
| State | NJ |
| Zip Code | 07075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992156 | Jeremy Thomas Goldklang | Specialist/Technologist | 218 Jay Street, Wood Ridge, NJ 07075 | 2017-03-01 |
| 1003290420 | Samantha Goldklang | Nurse Practitioner | 218 Jay St, Wood-ridge, NJ 07075 | 2015-07-15 |
| 1891183133 | Meaghan Durham | Specialist/Technologist | 29 Wesmont Drive, Wood Ridge, NJ 07075 | 2015-01-08 |
| 1831473065 | Juan A Castro | Behavioral Analyst | 358 Hackensack Street, D, Wood-ridge, NJ 07075 | 2011-10-06 |
| 1568600443 | Jamea R. Olivari | Dentist | 163 Valley Blouevard, Wood Ridge, NJ 07075 | 2009-01-30 |
| 1841405008 | Maria Vita Pantano | Family Medicine | 245 Valley Blvd, Wood Ridge, NJ 07075 | 2007-05-11 |
| 1427541929 | Lisandra Quinoy Pena | Dentist | 300 Avalon Dr Unit 3244, Wood Ridge, NJ 07075-1015 | 2018-06-08 |
| 1114324308 | Myong Sun Choe | General Acute Care Hospital | 300 Avalon Dr Unit 3306, Wood Ridge, NJ 07075-1024 | 2014-12-03 |
| 1649539248 | Yihao Jiang | Anesthesiology | 401 Avalon Dr Unit 4212, Wood Ridge, NJ 07075-1059 | 2012-05-16 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| Find all providers in zip 07075 | ||||
| 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 |
|---|---|---|---|---|
| 1033651187 | Gillian Giannone | Pharmacist | 255 Valley Blvd, Wood Ridge, NJ 07075-1201 | 2016-11-07 |
| 1164700597 | Jayna Mehta | Pharmacist | 80 Hill St, Wood Ridge, NJ 07075-2314 | 2011-08-02 |
| 1295059806 | Donald F Gallo | Pharmacist | 302 Wood Ridge St, Wood Ridge, NJ 07075-1356 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1851992606 | Shimaa Amin Amin | Pharmacist | 2801 John F Kennedy Blvd, Jersey City, NJ 07306-5449 | 2020-11-06 |
| 1710588223 | Reema Malkani | Pharmacist | 807 Abbey Ct, Sicklerville, NJ 08081-2405 | 2020-11-03 |
| 1689275166 | Erica Kaczmarczyk | Pharmacist | 106 Conover Rd, Princeton Junction, NJ 08550-3230 | 2020-11-03 |
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1366042053 | Iman M Ahmed | Pharmacist | 383 Washington, Hillsdale, NJ 07642 | 2020-10-30 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WOOD RIDGE |
| Zip Code | 07075 |
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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.