Healthcare Provider Details

I. General information

NPI: 1275544439
Provider Name (Legal Business Name): NEWPORT PHARMACEUTICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 ERIE ST
JERSEY CITY NJ
07302-1717
US

IV. Provider business mailing address

165 ERIE ST
JERSEY CITY NJ
07302-1717
US

V. Phone/Fax

Practice location:
  • Phone: 201-963-1903
  • Fax: 201-222-6534
Mailing address:
  • Phone: 201-963-1903
  • Fax: 201-222-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00593600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: VICTOR M MOSQUERA
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 201-963-1903