Healthcare Provider Details

I. General information

NPI: 1174439020
Provider Name (Legal Business Name): DEBISHA DEY PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 MAIN ST
PATERSON NJ
07503-2621
US

IV. Provider business mailing address

340 CHANGEBRIDGE RD APT 313
PINE BROOK NJ
07058-4403
US

V. Phone/Fax

Practice location:
  • Phone: 973-754-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04328200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: