Organization Active NPI

Ion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Emerson, NJ
National Provider Identifier
1225141542
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ION HEALTHCARE CORPORATION
Practice address
452 Old Hook Rd
Ste 102
Emerson, NJ 07630-1391
Phone
(201) 261-1119
Fax
(201) 261-1189
NPI assigned
Aug 17, 2006
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ION HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen A Burton, PHD
Title
President
Phone
(804) 241-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

452 Old Hook Rd
Ste 102
Emerson, NJ 07630-1391

Mailing address

452 Old Hook Rd
Ste 102
Emerson, NJ 07630-1381
Phone (201) 261-1119

Other identifiers 3

IdentifierTypeStateIssuer
352330OtherVAANTHEM
423824OtherVASOUTHERN HEALTH
010272297MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Ion Healthcare Corporation6 organizations share this tax ID, including this one
Part of
Ion Healthcare Corporation

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1225141542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "STE 102",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-261-1119",
            "fax_number": "201-261-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "STE 102",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301391",
            "telephone_number": "201-261-1119",
            "fax_number": "201-261-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ION HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ION HEALTHCARE CORPORATION",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-241-7931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "352330",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "423824",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010272297",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.