Healthcare Provider Details

I. General information

NPI: 1871620013
Provider Name (Legal Business Name): ESSGEEKAY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 ANDERSON AVE
CLIFFSIDE PARK NJ
07010-2188
US

IV. Provider business mailing address

735 ANDERSON AVE
CLIFFSIDE PARK NJ
07010-2188
US

V. Phone/Fax

Practice location:
  • Phone: 201-461-2472
  • Fax: 201-461-0097
Mailing address:
  • Phone: 201-461-2472
  • Fax: 201-461-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RS00473800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. KALPESH DAVE
Title or Position: PRESIDENT
Credential: RPH
Phone: 201-461-2472