Organization Active NPI

Leap of Faith Infusion Services, LLC

  • Infusion Therapy Registered Nurse
  • Fresh Meadows, NY
National Provider Identifier
1538730825
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
LEAP OF FAITH INFUSION SERVICES, LLC
Practice address
6143 186TH St Ste C114
Fresh Meadows, NY 11365-2710
Phone
(718) 551-6139
Fax
(646) 558-6973
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Michelle Pelage, RNNPI 1669894143
Title
Ceo/RN
Phone
(718) 551-6139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

6143 186TH St Ste C114
Fresh Meadows, NY 11365-2710

Mailing address

6143 186TH St Ste C114
Fresh Meadows, NY 11365-2710
Phone (718) 551-6139

National Provider Directory

National Provider Directory

Locations

6143 186th St
Ste C114
Fresh Meadows, NY 11365
Phone (718) 551-6139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1538730825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE C114",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "718-551-6139",
            "fax_number": "646-558-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE C114",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "718-551-6139",
            "fax_number": "646-558-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OF FAITH INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "PELAGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO/RN",
        "authorized_official_telephone_number": "718-551-6139",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.