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MT PROSPECT PHARMACEUTICAL SERVICES INC
NPI 1083133961
Durable Medical Equipment & Medical Supplies in Newark, NJ

Active since September 12, 2017CLIA 31D2029850 · Waiver
794 MOUNT PROSPECT AVE, NEWARK, NJ 07104(973) 483-4749(973) 482-0643 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Mt Prospect Pharmaceutical Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT PROSPECT PHARMACEUTICAL SERVICES INC (NPI 1083133961) is a healthcare organization registered as a durable medical equipment & medical supplies in Newark, New Jersey and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Matthew Joseph Parisi, Owner, as its authorized official.

NPPES Registry Identity

NPI1083133961
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMT PROSPECT PHARMACEUTICAL SERVICES INC
Location Address794 MOUNT PROSPECT AVENewark, NJ 07104-3221
Mailing Address794 Mount Prospect AveNewark, NJ 07104-3221 · (973) 483-4749 · Fax (973) 482-0643
Phone(973) 483-4749
Fax(973) 482-0643
Organization SubpartNo
Authorized OfficialMatthew Joseph ParisiOwner · (973) 483-4749
Enumeration DateSeptember 12, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1083133961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
794 MOUNT PROSPECT AVE, Newark, NJ 07104
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Other Identifiers 1

Medicaid2778009NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2029850

Mt Prospect Pharmaceutical Services Inc · Newark, NJ
Active · expires Sep 14, 2027
CLIA Number31D2029850
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorRichard A. Mistichelli
Laboratory Phone(973) 483-4749
Laboratory LocationMt Prospect Pharmaceutical Services Inc794 Mt Prospect Ave, Newark, NJ 07104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 29

Medicare supplier enrollment and the product categories Liss Pharmacy carries, from the Medicare DMEPOS supplier directory.

Liss Pharmacy

DMEPOS supplier · Newark, NJOperated by Mt Prospect Pharmaceutical Services Inc
✔

Accepts Medicare assignment

Liss Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20554799
Medicare Participant SinceNovember 8, 2008
Supplier Location794 Mount Prospect AveNewark, NJ 07104
Phone(973) 483-4749
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MT PROSPECT PHARMACEUTICAL SERVICES INC
Pharmacy (Community/Retail Pharmacy)
794 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-4749
MR. MATTHEW J PARISI JR. RPH
Pharmacist
794 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-4749
MR. RICHARD A MISTICHELLI JR. RPH
Pharmacist
794 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-4749
KAYLA MARIE ROQUE PHARMD
Pharmacist
794 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-4749
JUAN ALVARADO GARCES
Pharmacist
794 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-4749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt Prospect Pharmaceutical Services Inc's NPI number?

The NPI number for Mt Prospect Pharmaceutical Services Inc is 1083133961. It was assigned to this organization in the NPPES registry on September 12, 2017.

Where is Mt Prospect Pharmaceutical Services Inc located?

Mt Prospect Pharmaceutical Services Inc is located at 794 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (973) 483-4749.

What is Mt Prospect Pharmaceutical Services Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mt Prospect Pharmaceutical Services Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Liss Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mt Prospect Pharmaceutical Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2029850) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mt Prospect Pharmaceutical Services Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.