Active NPI
NBN Infusions Inc
- Home Infusion Therapy Pharmacy
- Cherry Hill, NJ
National Provider Identifier
1336286384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 28R500454200
- Legal business name
- NBN INFUSIONS INC
- Practice address
- 2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1630 - Phone
- (856) 669-0217
- Fax
- (856) 424-8913
- NPI assigned
- Jan 31, 2007
- 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
- Mr. Joseph Karl Boettcher Jr.
- Title
- Coo
- Phone
- (856) 669-0217
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NJ | ||
| Community/Retail Pharmacy | 3336C0003X | 28R500454200 | NJ | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 28R500454200 | NJ | Primary |
Addresses
Primary practice location
2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1630
Mailing address
2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1632
Phone (856) 669-0217
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004052000 | Other | PA | PERSONAL CHOICE |
| 19968 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 34546 | Other | PA | HEALTH PARTNERS |
| 43512 | Other | NJ | AMERIGROUP |
| 0004052000 | Other | PA | KEYSTONE HEALTH PLAN |
| 116388 | Other | NJ | AETNA |
| 4533402 | Medicaid | NJ | |
| 3193327 | Other | AZ | NCPDP |
| A1000663 | Other | NJ | OXFORD |
| 3193327 | Other | NJ | NAPB NUMBER |
| 0004052000 | Other | NJ | AMERIHEALTH |
| 1036043 | Other | NJ | HORIZON NJ HEALTH |
| BU0000115-01 | Other | NJ | AMERICHOICE NJ |
| 2K0662 | Other | NJ | HEALTHNET |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1336286384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PIN OAK LN",
"address_2": "UNIT 250",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031632",
"telephone_number": "856-669-0217",
"fax_number": "856-424-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PIN OAK LN",
"address_2": "UNIT 250",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031630",
"telephone_number": "856-669-0217",
"fax_number": "856-424-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NBN INFUSIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "BOETTCHER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "KARL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "856-669-0217",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28R500454200",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NJ",
"license": "28R500454200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0004052000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "19968",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "34546",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "43512",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "0004052000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "116388",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4533402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3193327",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A1000663",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAPB NUMBER",
"identifier": "3193327",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0004052000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1036043",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE NJ",
"identifier": "BU0000115-01",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K0662",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.