Healthcare Provider Details

I. General information

NPI: 1609728971
Provider Name (Legal Business Name): PPS OF NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PITTSTOWN RD
CLINTON NJ
08809-1209
US

IV. Provider business mailing address

40 PITTSTOWN RD
CLINTON NJ
08809-1209
US

V. Phone/Fax

Practice location:
  • Phone: 908-735-4031
  • Fax: 973-538-2750
Mailing address:
  • Phone: 908-735-4031
  • Fax: 973-538-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential: RPH
Phone: 908-931-9111