MEDICARE: SAE AHM HONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04479200	NJ

General Provider Information

NPI Number	:	1477405389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAE AHM HONG

Provider Business Mailing Address
First Line	:	2185 LEMOINE AVE APT 3O
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6018
Country	:	US
Telephone Number	:	512-636-6230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1681 FLETCHER AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024
Country	:	US
Telephone Number	:	201-944-1214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ SAE AHM HONG ” Practice Location

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