NPIMap

Organization Active NPI

Promptcare Home Infusion, LLC

  • Home Infusion Therapy Pharmacy
  • New Providence, NJ
National Provider Identifier
1477647337
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
28RS00545700 Issued in NJ
Legal business name
PROMPTCARE HOME INFUSION, LLC
Practice address
41 Spring St Ste 103B
New Providence, NJ 07974-1143
Phone
(866) 526-1297
Fax
(855) 454-4553
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Stephen A Lariviere
Title
Chief Compliance Officer
Phone
(866) 776-6782

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 28RS00545700 NJ
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 28RS00545700 NJ
Home Infusion Therapy Pharmacy 3336H0001X 28RS00545700 NJ Primary
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X 28RS00545700 NJ

Addresses

Primary practice location

41 Spring St Ste 103B
New Providence, NJ 07974-1143

Mailing address

41 Spring St Ste 103B
New Providence, NJ 07974-1143
Phone (866) 526-1297

Other identifiers 3

IdentifierTypeStateIssuer
0123994MedicaidNJ
0577472MedicaidNJ
02859763MedicaidNY

Other names 1

  • PromptCare Companies Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930067111 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0345443339 Practice locations: New Providence, NJ
O20210413000440 NJ Part B Supplier - Home Infusion Therapy Supplier 0345443339 Practice locations: New Providence, NJ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Promptcare Home Infusion LLC41 Spring St, New Providence, NJ 07974-1143(866) 776-6782 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Promptcare Home Infusion LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1477647337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPRING ST STE 103B",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741143",
            "telephone_number": "866-526-1297",
            "fax_number": "855-454-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SPRING ST STE 103B",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741143",
            "telephone_number": "866-526-1297",
            "fax_number": "855-454-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPTCARE HOME INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "LARIVIERE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-776-6782"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NJ",
            "license": "28RS00545700",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00545700",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NJ",
            "license": "28RS00545700",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00545700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123994",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577472",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02859763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PromptCare Companies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.