Organization Active NPI

Noble Infusion, LLC

  • Infusion Therapy Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1346089513
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
NOBLE INFUSION, LLC
Practice address
310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276
Phone
(386) 957-9600
Fax
(386) 957-9400
NPI assigned
May 20, 2024
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Isaiah Fogel
Title
Ambr
Phone
(386) 957-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Infusion Therapy Clinic/Center 261QI0500X NU Primary

Addresses

Primary practice location

310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276

Mailing address

310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276
Phone (386) 957-9600

Other practice location 1

3959 S Nova Rd Ste 7
Port Orange, FL 32127-4900
Phone (386) 957-9600

Other practice location 2

145 E Rich Ave Ste E
Deland, FL 32724-4338
Phone (386) 957-9600

Other practice location 3

50 Leanni Way Unit A5
Palm Coast, FL 32137-4753
Phone (386) 957-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240609000179 FL Part B Supplier - Clinic/Group Practice 1658813480 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

310 Wilmette Ave
Ste 3
Ormond Beach, FL 32174
Phone (386) 957-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1346089513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WILMETTE AVE STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745276",
            "telephone_number": "386-957-9600",
            "fax_number": "386-957-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WILMETTE AVE STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745276",
            "telephone_number": "386-957-9600",
            "fax_number": "386-957-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 S Nova Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274900",
            "country_code": "US",
            "telephone_number": "386-957-9600",
            "fax_number": "386-957-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Rich Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327244338",
            "country_code": "US",
            "telephone_number": "386-957-9600",
            "fax_number": "386-957-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Leanni Way Unit A5",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374753",
            "country_code": "US",
            "telephone_number": "386-957-9600",
            "fax_number": "386-957-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOBLE INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "386-957-9600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.