# SIDDHIVINAYAK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BERGEN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801996053
- **Authorized official:** MR. RASIK M NAGRECHA RPH (PRESIDENT)
- **Authorized official phone:** (973) 972-1960

## Contact information

- **Practice address:** 90 BERGEN ST, SUITE 1600, NEWARK, NJ 07103-2425
- **Practice address phone:** (973) 972-1960
- **Practice address fax:** (973) 972-8158
- **Mailing address:** 23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
- **Mailing address phone:** (973) 972-1960
- **Mailing address fax:** (973) 972-8158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28R00581900 | NJ | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 07/25/2008