Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayonne Pharmacy Inc

Organization Allergy & Immunology Physician · NPI 1639102940

Bayonne Pharmacy Inc is an Allergy & Immunology Physician in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

455 Broadway
Bayonne, NJ 07002-3623
Phone: (201) 339-1992
Fax: (201) 858-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 28RS00532100 (NJ)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 28RS00532100 (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 28RS00532100 (NJ)
Customized Equipment (DME) Taxonomy 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1639102940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bologh — Owner · (201) 339-1992
Other names Jerrys Drug & Surgical Supply
NPI enumeratedJuly 9, 2006
Last updated in NPPESMarch 11, 2010
Mailing address455 Broadway, Bayonne, NJ 07002-3623