200 Chestnut St LLC
NPI 1508801713 · Community/Retail Pharmacy · Roselle Park, NJ
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
200 Chestnut St LLC is a Community/Retail Pharmacy organization in Roselle Park, NJ (NPI 1508801713).
Provider details
- NPI number
- 1508801713
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sanjay Shah, Pharmacist in Charge(908) 245-1396
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
47 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 32 | $36 |
| Admn Sarscov2 Vacc 1 Dose90480 | 15 | $22 |
Typical Medicare-allowed amounts for these services range $22–$36 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Roselle Park Rita Pharmacy
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2017-02-16
Frequently asked questions
- What is 200 Chestnut St LLC's NPI number?
- 200 Chestnut St LLC's National Provider Identifier (NPI) is 1508801713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 200 Chestnut St LLC?
- 200 Chestnut St LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 200 Chestnut St LLC located?
- 200 Chestnut St LLC's practice location on file with NPPES is 200 Chestnut St, Roselle Park, NJ 07204-2263.
- What is 200 Chestnut St LLC's phone number?
- The practice phone number listed in the NPPES registry for 200 Chestnut St LLC is (908) 245-1396.
- Does 200 Chestnut St LLC accept Medicare?
- 200 Chestnut St LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 200 Chestnut St LLC?
- The authorized official listed on 200 Chestnut St LLC's NPPES record is Sanjay Shah, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 200 Chestnut St LLC's NPI active?
- Yes — 200 Chestnut St LLC's NPI (1508801713) is active in the NPPES registry as of the last update on 2017-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.