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Export Provider Record NPI 1093790040
Branch Brook Corp.
Organization Subpart: NO
Active
NPI Number1093790040
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1093790040
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2005-12-13
Last Updated2014-03-03
Authorized OfficialManoj Barot
PRESIDENT
Phone: 9734127300
Mailing Address917 Franklin Ave
Newark, NJ 07107-2809
United States
Phone: (973) 412-7300 | Fax: (973) 412-7303
📍 View Map
Primary Practice Address917 Franklin Ave
Newark, NJ 07107-2809
United States
Phone: (973) 412-7300 | Fax: (973) 412-7303
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNJ8625701
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical SuppliesNJ28RS00603800
No3336C0003X – Pharmacy, Community/Retail PharmacyNJ28RS00603800
Yes333600000X – PharmacyNJ28RS00603800
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About NPI 1093790040

Branch Brook Corp. is an organization registered in the CMS NPPES NPI Registry with NPI number 1093790040. The primary specialty listed is Pharmacy. The organization is located in Newark, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093790040?

NPI 1093790040 belongs to Branch Brook Corp., a Pharmacy in Newark, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093790040 active?

The current status of NPI 1093790040 in the NPPES registry is Active. The record was last updated on 2014-03-03.

What specialty is NPI 1093790040?

NPI 1093790040 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093790040?

You can verify NPI 1093790040 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093790040?

The primary practice address on file for NPI 1093790040 is 917 Franklin Ave, Newark, NJ 07107-2809. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093790040 issued?

NPI 1093790040 was first issued (enumerated) on 2005-12-13. The NPPES record was last updated on 2014-03-03.

Practice Location Map

Branch Brook Corp. is located at 917 Franklin Ave, Newark, NJ. Use the map below to find directions or verify the practice location.

📍 917 Franklin Ave, Newark, NJ 07107-2809  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Branch Brook Corp.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093790040. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Durable Medical Equipment & Medical Supplies28RS00603800NJ
Pharmacy, Community/Retail Pharmacy28RS00603800NJ
Pharmacy28RS00603800NJ
Data Verified from CMS NPPES Last synced: 2026-06-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162