Ipm Nurse Registry LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

IPM NURSE REGISTRY LLC

Practice address

1401 Valley Rd Ste 2
Wayne, NJ 07470-2074

Phone

(888) 822-7428

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Mishel

Title

Operations Manager

Phone

(888) 822-7428

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1689334815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VALLEY RD STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702074",
            "telephone_number": "888-822-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VALLEY RD STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702074",
            "telephone_number": "888-822-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPM NURSE REGISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MISHEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "888-822-7428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEYDEPARTMENT OF THE TREASURY FILING CERTIFICATION",
            "identifier": "0450455178",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Wayne, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.