Healthcare Provider Details

I. General information

NPI: 1922950294
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: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS WAY
PARAMUS NJ
07652-4100
US

IV. Provider business mailing address

1 VETERANS WAY
PARAMUS NJ
07652-4100
US

V. Phone/Fax

Practice location:
  • Phone: 201-634-8421
  • Fax: 201-986-1012
Mailing address:
  • Phone: 201-634-8421
  • Fax: 201-986-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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