Jonathan Ubaydov, PharmD
Pharmacist in Rochelle Park, NJ. Individual provider (NPI-1).
NPI number1104723667
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1104723667
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Ubaydov
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2026
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI04524800 | NJ | Yes |
Practice location
60 Essex St Ste 105Rochelle Park, NJ 07662-4347
Phone 347-996-9945
Mailing address
150 E 52nd St Ste 16003New York, NY 10022-6017
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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