Active NPIIndividual provider

Dr. Ivan Fesyun, PHARMD

Pharmacist in Somerset, New Jersey

NPI Number1619465390
Practice location
500 Atrium Dr, Somerset, NJ 08873
Fax
—
Last updated
March 4, 2019

Ivan Fesyun is a Pharmacist based in Somerset, NJ. Ivan Fesyun practices in Somerset, NJ and has the professional credentials of PHARMD. The NPI Number for Ivan Fesyun is 1619465390 and holds a License No. 28RI03625300 (NJ). The current practice location address for Ivan Fesyun is 500 Atrium Dr, Somerset, NJ 08873 and can be reached out via phone at 732-648-8962.

Provider Profile Details

NPI Number
1619465390
Provider Name
Ivan Fesyun
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
500 Atrium Dr, Somerset, NJ 08873
Phone Number
732-648-8962
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
April 27, 2018
Last Update Date
March 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Atrium Dr
Somerset, NJ 08873
Zip
08873
Phone Number
732-648-8962
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
500 Atrium Dr
Somerset, NJ 08873-4161
City
Somerset
State
NJ
Zip
08873-4161

License Information

License Number (1)
28RI03625300
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
PCT.0013149
License State (2)
CT
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivan Fesyun, PHARMD?

The NPI number of Dr. Ivan Fesyun, PHARMD is 1619465390. It was assigned on April 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan Fesyun, PHARMD?

Dr. Ivan Fesyun, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03625300.

Where does Dr. Ivan Fesyun, PHARMD practice?

The practice location is 500 Atrium Dr, Somerset, NJ 08873. The office can be reached at 732-648-8962 (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 1619465390 directly on the NPPES registry website.

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