Healthcare Provider Details

I. General information

NPI: 1952289183
Provider Name (Legal Business Name): JONATHAN KURIAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 2ND AVE
LONG BRANCH NJ
07740-6395
US

IV. Provider business mailing address

32 PLEASANT AVE
BERGENFIELD NJ
07621-3126
US

V. Phone/Fax

Practice location:
  • Phone: 732-222-5200
  • Fax:
Mailing address:
  • Phone: 201-390-5905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04451100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: