Healthcare Provider Details

I. General information

NPI: 1649185596
Provider Name (Legal Business Name): HARSHIKESH BRAHMABHATT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 IRON BRIDGE RD STE 1
FREEHOLD NJ
07728-5300
US

IV. Provider business mailing address

1346 HURON RD
NORTH BRUNSWICK NJ
08902-1506
US

V. Phone/Fax

Practice location:
  • Phone: 732-252-6455
  • Fax:
Mailing address:
  • Phone: 201-736-1409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04511600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: