Healthcare Provider Details

I. General information

NPI: 1962354233
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

132 EVERGREEN RD
EDISON NJ
08837-2484
US

IV. Provider business mailing address

132 EVERGREEN RD
EDISON NJ
08837-2484
US

V. Phone/Fax

Practice location:
  • Phone: 609-633-1772
  • Fax: 609-292-0940
Mailing address:
  • Phone: 609-633-1772
  • Fax: 609-292-0940

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