- Practice location
- 161 Palisade Ave, Jersey City, NJ 07306-1146
- Phone
- 201-653-3154
- Fax
- 201-653-7576
- Last updated
- April 23, 2015
Prudential Healthcare is a healthcare organization based in Jersey City, NJ. Prudential Healthcare practices in Jersey City, NJ. The NPI Number for Prudential Healthcare is 1700047719 and holds a License No. 28RS00707500 (NJ). The current practice location address for Prudential Healthcare is 161 Palisade Ave, Jersey City, NJ 07306-1146 and can be reached out via phone at 201-653-3154 and via fax at 201-653-7576.
Provider Profile Details
- NPI Number
- 1700047719
- Provider Name
- Prudential Healthcare
- Provider Entity Type
- Organization
- Address
- 161 Palisade Ave, Jersey City, NJ 07306-1146
- Phone Number
- 201-653-3154
- Fax Number
- 201-653-7576
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Daya Barbaria · Owner · 201-653-3154
- Other Names
- Pinto'S Pharmacy (Doing Business As)
- Provider Enumeration Date
- June 23, 2008
- Last Update Date
- April 23, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 161 Palisade Ave
Jersey City, NJ 07306-1146 - City
- Jersey City
- State
- New Jersey
- Zip
- 07306-1146
- Phone Number
- 201-653-3154
- Fax Number
- 201-653-7576
Provider Business Mailing Address Details
- Address
- 161 Palisade Ave
Jersey City, NJ 07306-1146 - City
- Jersey City
- State
- NJ
- Zip
- 07306-1146
- Phone Number
- 201-653-3154
- Fax Number
- 201-653-7576
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Taxonomy (2)
- Pharmacy, Compounding Pharmacy · 3336C0004X
- Taxonomy (3)
- Pharmacy, Specialty Pharmacy · 3336S0011X
- Taxonomy (4)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (5)
- Pharmacy, Managed Care Organization Pharmacy · 3336M0003X
- License Number (6)
- 28RS00707500
- License State (6)
- NJ
- Taxonomy (6)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near Jersey City, NJ
View all Pharmacy providers in Jersey City →Frequently Asked Questions
What is the NPI number of Prudential Healthcare?
The NPI number of Prudential Healthcare is 1700047719. It was assigned on June 23, 2008 and is currently active in the NPPES registry.
What is the specialty of Prudential Healthcare?
Prudential Healthcare is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00707500.
Where does Prudential Healthcare practice?
The practice location is 161 Palisade Ave, Jersey City, NJ 07306-1146. The office can be reached at 201-653-3154 (phone) or 201-653-7576 (fax).
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 1700047719 directly on the NPPES registry website.