Active NPI
Prestige Infusions LLC
Doing business as Prestige Health and Wellness
- Infusion Therapy Clinic/Center
- Kinnelon, NJ
National Provider Identifier
1235694506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- PRESTIGE INFUSIONS LLC
- Doing business as
- Prestige Health and Wellness
- Practice address
- 116 Boonton Ave
Kinnelon, NJ 07405-2910 - Phone
- (914) 906-4004
- Fax
- (973) 909-4540
- NPI assigned
- Jan 31, 2019
- 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
- Aysha Ahmed
- Title
- Admin
- Phone
- (973) 653-8844
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Home Infusion Agency | 251F00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
116 Boonton Ave
Kinnelon, NJ 07405-2910
Mailing address
6601 Lyons Rd Ste L6
Coconut Creek, FL 33073-3639
Phone (561) 212-3816
Other names 1
- PRESTIGE HEALTH AND WELLNESS
National Provider Directory
National Provider DirectoryLocations
6601 Lyons Rd
Ste L6
Coconut Creek, FL 33073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680825600000",
"number": "1235694506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 LYONS RD STE L6",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733639",
"telephone_number": "561-212-3816",
"fax_number": "973-909-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BOONTON AVE",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052910",
"telephone_number": "914-906-4004",
"fax_number": "973-909-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE INFUSIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "AYSHA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "973-653-8844"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRESTIGE HEALTH AND WELLNESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.