Active NPI
Garden State Infusions LLC
- Clinic/Center
- West New York, NJ
National Provider Identifier
1689264145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GARDEN STATE INFUSIONS LLC
- Practice address
- 6040 Kennedy Blvd E Apt 3F
West New York, NJ 07093-3805 - Phone
- (551) 697-3297
- NPI assigned
- Jan 19, 2021
- 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
- Lautaro Sanfilippo
- Title
- Director
- Phone
- (551) 697-3297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6040 Kennedy Blvd E Apt 3F
West New York, NJ 07093-3805
Mailing address
6040 Kennedy Blvd E Apt 3F
West New York, NJ 07093-3805
Phone (551) 697-3297
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1689264145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 KENNEDY BLVD E APT 3F",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070933805",
"telephone_number": "551-697-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 KENNEDY BLVD E APT 3F",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070933805",
"telephone_number": "551-697-3297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE INFUSIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "SANFILIPPO",
"authorized_official_first_name": "LAUTARO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "551-697-3297"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.