1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Pharmacy
  6. NPI Profile

FOURTH AVENUE PHARMACY
NPI 1225130354
Pharmacy - Community/Retail Pharmacy in Newark, NJ

Active since September 01, 2006
329 ROSEVILLE AVE, NEWARK, NJ 07107(973) 483-3872(973) 483-6956 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fourth Avenue Pharmacy NPPES

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

FOURTH AVENUE PHARMACY (NPI 1225130354) is a healthcare organization registered as a community/retail pharmacy in Newark, New Jersey and active in the NPI registry since September 2006. The organization lists Ayush Gajera, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1225130354
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFOURTH AVE PHARMACY LLC
Location Address329 ROSEVILLE AVENewark, NJ 07107-1757
Mailing Address329 Roseville AveNewark, NJ 07107-1757 · (973) 483-3872 · Fax (973) 483-6956
Phone(973) 483-3872
Fax(973) 483-6956
Organization SubpartNo
Authorized OfficialAyush GajeraPharmacist · (973) 483-3872
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 19, 2017
✔ NPI 1225130354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NJ · 28RS00335200
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
329 ROSEVILLE AVE, Newark, NJ 07107
Open in Google Maps ↗

Other Names 1

Doing Business AsFourth Avenue Pharmacy

Other Identifiers 2

Medicare NSC6653650001
Other2132840Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 18

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

Fourth Avenue Pharmacy

DMEPOS supplier · Newark, NJOperated by Fourth Ave Pharmacy LLC
✔

Accepts Medicare assignment

Fourth Avenue 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)20522891
Medicare Participant SinceJanuary 26, 2012
Supplier Location329 Roseville AveNewark, NJ 07107
Phone(973) 483-3872
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 2

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

MOHINI VAKIL PHARMD
Pharmacist
329 ROSEVILLE AVE
NEWARK, NJ 07107
Essex County (201) 952-3393
AYUSH GAJERA RPH
Pharmacist
329 ROSEVILLE AVE
NEWARK, NJ 07107
Essex County (973) 483-3872

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 Fourth Ave Pharmacy LLC's NPI number?

The NPI number for Fourth Ave Pharmacy LLC is 1225130354. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider is doing business as Fourth Avenue Pharmacy.

Where is Fourth Ave Pharmacy LLC located?

Fourth Ave Pharmacy LLC is located at 329 Roseville Ave, Newark, NJ 07107. The listed phone number is (973) 483-3872.

What is Fourth Ave Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Fourth Ave Pharmacy LLC accept Medicare assignment for medical equipment?

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

What insurance does Fourth Ave Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Fourth Ave Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fourth Ave Pharmacy LLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.