Organization Active NPI

Prestige Infusions LLC

Doing business as Prestige Health and Wellness

  • Infusion Therapy Clinic/Center
  • Kinnelon, NJ
National Provider Identifier
1235694506
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
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

Updated by the provider on Apr 7, 2023

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)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.