MEDICARE: DR. SHADY Z KALENY

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	28RI04203100	NJ

General Provider Information

NPI Number	:	1932853744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHADY Z KALENY

Provider Business Mailing Address
First Line	:	156 W 3RD ST APT 132
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-5232
Country	:	US
Telephone Number	:	201-688-5503
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 SUMMIT AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-3429
Country	:	US
Telephone Number	:	201-866-2892
Fax Number	:

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

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/10/2022

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Directions to “ DR. SHADY Z KALENY ” Practice Location

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