SHIVAJI GAJANAN PHADKE (NPI# 1972871598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972871598 |
Entity Type | Individual |
Full Name | SHIVAJI GAJANAN PHADKE |
Practice Address |
40 Holly Glen Lane North Berkeley Heights NJ 07922 |
Practice Telephone | 2679184195 |
Enumeration Date | 2011-12-09 |
Last Update Date | 2013-07-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 057972 | NY | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 28RI03281000 | NJ | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | RP441450 | PA | Pharmacy Service Providers |
Street Address |
40 HOLLY GLEN LANE NORTH |
City | BERKELEY HEIGHTS |
State | NJ |
Zip Code | 07922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962920579 | Dylan Nessenson | Specialist/Technologist | 44 Branko Road, Berkeley Heights, NJ 07922 | 2017-09-04 |
1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
1396831814 | Joseph Anton | Internal Medicine | 369 Springfield Avenue, Berkeley Heights, NJ 07922 | 2006-10-04 |
Find all providers in zip 07922 |
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 |
---|---|---|---|---|
1255747200 | Maria T Olmo | Pharmacist | 1 Kingman Rd, Berkeley Heights, NJ 07922-2418 | 2014-07-09 |
1841505476 | Joseph Gerald Conzolo | Pharmacist | 44 Sherbrook Dr, Berkeley Heights, NJ 07922-2346 | 2010-08-06 |
1104423789 | Seok Chan Yoon | Pharmacist | 343 Springfield Ave, Berkeley Heights, NJ 07922-1108 | 2020-10-06 |
1982211686 | Daniella Andrea Borges | Pharmacist | 343 Springfield Ave, Berkeley Heights, NJ 07922-1108 | 2020-09-26 |
1962921007 | Courtney Howard | Pharmacist | 343 Springfield Ave, Berkeley Heights, NJ 07922-1108 | 2017-09-10 |
1689050312 | Alexander Nham | Pharmacist | 343 Springfield Ave, Berkeley Heights, NJ 07922-1108 | 2015-08-04 |
1356742167 | Jessica Patel | Pharmacist | 343 Springfield Ave, Berkeley Heights, NJ 07922-7913 | 2014-09-11 |
1912335761 | Ehsan A Bukhari | Pharmacist | 300 Connell Dr, Suite 3-6014b, Berkeley Heights, NJ 07922-2781 | 2013-10-14 |
1972885895 | Walter Cifuentes | Pharmacist | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2011-09-16 |
1790067775 | Venus M Mignogni | Pharmacist | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2011-09-15 |
Find all providers in BERKELEY HEIGHTS |
City | BERKELEY HEIGHTS |
Zip Code | 07922 |
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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.