Shady Gad
Pharmacist in Bayonne, New Jersey
1235721135- Practice location
- 779 Broadway, Bayonne, NJ 07002-3943
- Phone
- 201-455-8600
- Fax
- —
- Last updated
- February 11, 2021
Shady Gad is a Pharmacist based in Bayonne, NJ. Shady Gad practices in Bayonne, NJ. The NPI Number for Shady Gad is 1235721135 and holds a License No. 28RI03696700 (NJ). The current practice location address for Shady Gad is 779 Broadway, Bayonne, NJ 07002-3943 and can be reached out via phone at 201-455-8600.
Provider Profile Details
- NPI Number
- 1235721135
- Provider Name
- Shady Gad
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 779 Broadway, Bayonne, NJ 07002-3943
- Phone Number
- 201-455-8600
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 11, 2021
- Last Update Date
- February 11, 2021
- Certification Date
- January 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 779 Broadway
Bayonne, NJ 07002-3943 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3943
- Phone Number
- 201-455-8600
Provider Business Mailing Address Details
- Address
- 21 Civic Center Dr Apt 15
East Brunswick, NJ 08816-3573 - City
- East Brunswick
- State
- NJ
- Zip
- 08816-3573
- Phone Number
- 201-238-8207
License Information
- License Number
- 28RI03696700
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Bayonne, NJ
View all Pharmacists in Bayonne →Frequently Asked Questions
What is the NPI number of Shady Gad?
The NPI number of Shady Gad is 1235721135. It was assigned on February 11, 2021 and is currently active in the NPPES registry.
What is the specialty of Shady Gad?
Shady Gad is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03696700.
Where does Shady Gad practice?
The practice location is 779 Broadway, Bayonne, NJ 07002-3943. The office can be reached at 201-455-8600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235721135 directly on the NPPES registry website.