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NPI Code Detail

MEDICARE: PPS OF NJ LLC

MEDICARE: PPS OF NJ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1265384531
Entity Type Code : Organization
Provider Name (Legal Business Name) : PPS OF NJ LLC
Provider Business Mailing Address
First Line : 59 KOCH AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-4400
Country : US
Telephone Number : 973-538-1800
Fax Number : 973-538-2750
Provider Business Practice Location Address
First Line : 59 KOCH AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-4400
Country : US
Telephone Number : 973-538-1800
Fax Number : 973-538-2750
Authorized Official
Title or Position : COO
Name : JAMES MATTHEWS
Credential : RPH
Telephone Number : 908-931-9111
Provider Enumeration Date : 02/10/2026
Last Update Date : 03/19/2026

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Directions to “PPS OF NJ LLC ” Practice Location

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