Nova Infusion Services Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

032350 Issued in NY

Legal business name

NOVA INFUSION SERVICES INC

Practice address

913 Old Liverpool Rd
Suite 1H
Liverpool, NY 13088-5571

Phone

(315) 299-8979

Fax

(315) 214-8377

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Tim Bronchetti

Title

Owner

Phone

(315) 299-8979

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nova-Infusion Services Inc. Doing business as

Locations

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1255672168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD",
            "address_2": "SUITE 1H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885571",
            "telephone_number": "315-299-8979",
            "fax_number": "315-214-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD",
            "address_2": "SUITE 1H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885571",
            "telephone_number": "315-299-8979",
            "fax_number": "315-214-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA INFUSION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BRONCHETTI",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-299-8979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "032350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova-Infusion Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Malissa Elizabeth O'Connor, LPN
• Colleen Gail O'Dell, MHC-LP
• Brian Thomas O'Key, RRT
• Adrianne O'Quinn, MD

• Home Infusion Therapy Pharmacy in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.