200 Chestnut St Llc

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NPI Number Detailed Information

Provider Information:

Name:	200 Chestnut St Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI:	1508801713
Entity Type (Individual or Organization):	2-org
Enumeration Date:	6/19/2006
Last Update Date:	2/16/2017

Provider Business Mailing Address:

Address:	200 CHESTNUT ST Roselle Park, NJ 07204
Phone Number:	9082451396
Fax Number:	9082451616

Provider Business Practice Location Address:

Address:	200 CHESTNUT ST Roselle Park, NJ 07204
Phone Number:	9082451396
Fax Number:	9082451616

Provider Taxonomy:

Primary:	333600000X
Secondary (if any):	3336C0003X
State:	NJ

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About 200 Chestnut St Llc

200 Chestnut St Llc ( 200 CHESTNUT ST LLC ) is A Pharmacy Provider in Roselle Park, NJ. The NPI Number for 200 Chestnut St Llc is 1508801713.

The current location address for 200 Chestnut St Llc is 200 CHESTNUT ST Roselle Park, NJ 07204 and the contact number is 9082451396 and fax number is 9082451616. The mailing address for 200 Chestnut St Llc is 200 CHESTNUT ST Roselle Park, NJ 07204- 9082451396 (mailing address contact number - 9082451396).

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Provider Business Location on Map

FAQs:

What is the NPI Number for 200 Chestnut St Llc ?

Answer: The NPI Number for 200 Chestnut St Llc is 1508801713

Where is 200 Chestnut St Llc located?

Answer: 200 Chestnut St Llc is located at 200 CHESTNUT ST Roselle Park, NJ 07204.

What is the specialty for 200 Chestnut St Llc ?

Answer: The Specialty of 200 Chestnut St Llc is A Pharmacy Provider.

Are there any online reviews for 200 Chestnut St Llc ?

Answer: Not yet!

Are there any other health care providers in Roselle Park, NJ?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by 200 Chestnut St Llc

Number of HCPCS	10
Number of Medicare Beneficiaries	213
Number of Services	306
Total Submitted Charge Amount	24000.51
Total Medicare Allowed Amount	14334.74
Total Medicare Payment Amount	14334.74
Total Medicare Standardized Payment Amount	12800.01
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	4
Number of Medicare Beneficiaries With Drug Services	42
Number of Drug Services	47
Total Drug Submitted Charge Amount	5167.35
Total Drug Medicare Allowed Amount	3777.51
Total Drug Medicare Payment Amount	3777.51
Total Drug Medicare Standardized Payment Amount	3701.89
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	6
Number of Medicare Beneficiaries With Medical	213
Number of Medical Services	259
Total Medical Submitted Charge Amount	18833.16
Total Medical Medicare Allowed Amount	10557.23
Total Medical Medicare Payment Amount	10557.23
Total Medical Medicare Standardized Payment Amount	9098.12
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	122
Number of Beneficiaries Age 75 to 84	61
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	109
Number of Male Beneficiaries	104
Number of Non-Hispanic White Beneficiaries	151
Number of Black or African American Beneficiaries	14
Number of Asian Pacific Islander Beneficiaries	11
Number of Hispanic Beneficiaries	25
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	12
Number of Beneficiaries With Medicare & Medicaid Entitlement	32
Number of Beneficiaries With Medicare Only Entitlement	181
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.07
Percent (%) of Beneficiaries Identified With Heart Failure	0.07
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.09
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.07
Percent (%) of Beneficiaries Identified With Depression	0.07
Percent (%) of Beneficiaries Identified With Diabetes	0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.41
Percent (%) of Beneficiaries Identified With Hypertension	0.39
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.21
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.19
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.957

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200 Chestnut St Llc
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NPI Number: 1508801713
Address: 200 CHESTNUT ST Roselle Park, NJ 07204 , Phone: 9082451396

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Mr. Sanjay K Shah
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Address: 200 CHESTNUT ST Roselle Park, NJ 07204 , Phone: 9082451396

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Address: 443 E WESTFIELD AVE Roselle Park, NJ 07204 , Phone: 9082452442

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