Organization Active NPI

Garden State Infusions LLC

  • Clinic/Center
  • West New York, NJ
National Provider Identifier
1689264145
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Apr 20, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.