Active NPI
New Age Home Infusion Services Inc
- Home Health Agency
- Staten Island, NY
National Provider Identifier
1194970392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 9739L001
- Legal business name
- NEW AGE HOME INFUSION SERVICES INC
- Practice address
- 47 Carol CT
Staten Island, NY 10309-3536 - Phone
- (718) 687-7355
- Fax
- (718) 701-5970
- NPI assigned
- Dec 2, 2008
- 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
- Mr. Robert Hagerman, RN
- Title
- President
- Phone
- (718) 687-7355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 9739L001 | NY | Primary |
Addresses
Primary practice location
47 Carol CT
Staten Island, NY 10309-3536
Mailing address
47 Carol Court
Staten Island, NY 10309
Phone (718) 687-7355
Other names 1
- New Age Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1194970392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 CAROL COURT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "718-687-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 CAROL CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093536",
"telephone_number": "718-687-7355",
"fax_number": "718-701-5970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW AGE HOME INFUSION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "HAGERMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-687-7355",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "9739L001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Age Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.