Idonia Luxe LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDONIA LUXE LLC

Practice address

27 Pelton Ave
Staten Island, NY 10310-1519

Phone

(917) 662-1176

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Raina Vandyke, RN, DNP

Title

Founder/Ceo

Phone

(917) 662-1176

Specialties & licenses 1

Addresses

Other names 1

• indigo luxe Doing business as

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1487413639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101519",
            "telephone_number": "917-662-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101519",
            "telephone_number": "917-662-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDONIA LUXE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "RAINA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "917-662-1176",
        "authorized_official_credential": "RN, DNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "indigo luxe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza Idelchik, DDS
• Awele Idemudia
• Jincy Idicula, RPH
• Daniel Jose Idoate Domench
• Roseann Idone, M.S., CCC-SLP
• Joel Akande Idowu, M.D.
• Tiby Iduculla
• Nanine Rhea Iengo Blomstrom
• Lubunmi Ifabiyi, MD
• Helen Ifatusin

• Durable Medical Equipment & Medical Supplies in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.