Active NPI
Infusion Resource
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
National Provider Identifier
1053677583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- INFUSION RESOURCE
- Practice address
- 69 Hickory Dr
Waltham, MA 02451-1011 - Phone
- (781) 250-1500
- Fax
- (781) 314-0522
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marian Marcoccio
- Title
- VP Operations
- Phone
- (781) 250-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
69 Hickory Dr
Waltham, MA 02451-1011
Mailing address
69 Hickory Dr
Waltham, MA 02451-1011
Phone (781) 250-1500
National Provider Directory
National Provider Directory- Tax ID family
- Care Resource
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Riverside, RI
- NPI 1720390818
-
- Durable Medical Equipment & Medical Supplies
- Riverside, RI
- NPI 1033577648
-
- Durable Medical Equipment & Medical Supplies
- Riverside, RI
- NPI 1497011910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1053677583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 HICKORY DR",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511011",
"telephone_number": "781-250-1500",
"fax_number": "781-314-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 HICKORY DR",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511011",
"telephone_number": "781-250-1500",
"fax_number": "781-314-0522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFUSION RESOURCE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "MARCOCCIO",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "781-250-1500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.