Healthcare Provider Details

I. General information

NPI: 1184586802
Provider Name (Legal Business Name): BRIANNA ADILI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 HOBOKEN RD
CARLSTADT NJ
07072-1143
US

IV. Provider business mailing address

6 MEADOW DR
TOTOWA NJ
07512-1912
US

V. Phone/Fax

Practice location:
  • Phone: 201-842-0916
  • Fax:
Mailing address:
  • Phone: 973-934-8049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04458500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: