Northern Ny Infusion

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

9957L001 Issued in NY

Legal business name

NORTHERN NY INFUSION

Practice address

18564 US Route 11
Watertown, NY 13601-5900

Phone

(315) 785-5436

Fax

(315) 786-3497

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Sue Stevens

Title

Office/Billing Manager

Phone

(315) 785-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OPTIONCARE Doing business as

Tax ID family

Northern Ny Infus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northern Ny Infus

  • Home Infusion Therapy Pharmacy
  • Watertown, NY
  • NPI 1649213927
  NPD tax ID

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265433593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18564 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015900",
            "telephone_number": "315-785-5436",
            "fax_number": "315-786-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015900",
            "telephone_number": "315-785-5436",
            "fax_number": "315-786-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NY INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "315-785-5436",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "9957L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01776109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIONCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern New York Cerebral Palsy Association
• Northern New York Gastroenterology
• Northern New York Obs LLC
• Northern Nurse Practitioners - Family Health PLLC
• Northern Ny Infus
• Northern Oral & Maxillofacial Surgery Services. P.C.
• Northern Orthopedic Laboratory, Inc.
• Northern Radiology Associates, PC
• Northern Radiology Imaging Center, PLLC
• Northern Regional Center for Independent Living

• Home Health Registered Nurse in Watertown, NY
• Providers in Watertown, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.