OrganizationActive
Jea Ava Maria LLC
NPI 1457029563 · Community/Retail Pharmacy · Boonton, NJ
Jea Ava Maria LLC is a Community/Retail Pharmacy organization in Boonton, NJ (NPI 1457029563).
Provider details
- NPI number
- 1457029563
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Ghaly, Managing Member(973) 334-0519
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 Main St
Boonton, NJ 07005-1749
Phone: (973) 334-0519
Fax: (973) 334-9390
Street-level locationGet directions
Mailing address
203 Main St
Boonton, NJ 07005-1749
Other names (DBA / former)
- Doing business as
- Main Pharmacy
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Jea Ava Maria LLC's NPI number?
- Jea Ava Maria LLC's National Provider Identifier (NPI) is 1457029563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jea Ava Maria LLC?
- Jea Ava Maria LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jea Ava Maria LLC located?
- Jea Ava Maria LLC's practice location on file with NPPES is 203 Main St, Boonton, NJ 07005-1749.
- What is Jea Ava Maria LLC's phone number?
- The practice phone number listed in the NPPES registry for Jea Ava Maria LLC is (973) 334-0519.
- Who is the authorized official for Jea Ava Maria LLC?
- The authorized official listed on Jea Ava Maria LLC's NPPES record is John Ghaly, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jea Ava Maria LLC's NPI active?
- Yes — Jea Ava Maria LLC's NPI (1457029563) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.