Infuseme IV LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INFUSEME IV LLC

Practice address

1257 Deer Park Ave Ste 136
North Babylon, NY 11703-3104

Phone

(516) 928-9202

NPI assigned

Jun 19, 2025

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janaira TuckerNPI 1245067594

Title

Ceo

Phone

(516) 928-9202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janaira J Tucker, FNP

  • Family Nurse Practitioner
  • Bay Shore, NY
  • NPI 1245067594
  NPD Authorized official

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1699662098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 DEER PARK AVE STE 136",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 DEER PARK AVE STE 136",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033104",
            "telephone_number": "516-928-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSEME IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JANAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-928-9202"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Hovanec
• Cyprian Ikwuazom, RN
• Stella Azuka Ikwuazom, NURSE PRACTITIONER
• In Balance Acu Corp
• In Home Physical Therapy
• Ivan Klayman OD PC
• Shankar P Iyer, MD
• Jacqueline M Spencer DO PC
• Shan Jaffery, FNP-BC
• James J Goetz

• Clinic/Center in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.