Healthcare Provider Details

I. General information

NPI: 1558534461
Provider Name (Legal Business Name): PARVANEH MOSLEMI GABRABADI C.M., PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 VAN WINKLE AVE
NUTLEY NJ
07110
US

IV. Provider business mailing address

217 MAIN ST
WEST ORANGE NJ
07052-5645
US

V. Phone/Fax

Practice location:
  • Phone: 973-667-0621
  • Fax:
Mailing address:
  • Phone: 973-941-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25MM00000800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03976500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: