Innovafuse Infusion Services, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

INNOVAFUSE INFUSION SERVICES, LLC

Practice address

6900 Jericho Tpke Ste 100W
Syosset, NY 11791-4457

Phone

(516) 636-5775

Fax

(516) 636-5785

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Amit Kajla

Title

Owner

Phone

(516) 636-5775

Specialties & licenses 6

Addresses

Other names 1

• Vital Care of Syosset Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Amitender Singh Kajla, PHARMD.

  • Pharmacist
  • Jericho, NY
  • NPI 1447649215
  NPD

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1871311068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 JERICHO TPKE STE 100W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914457",
            "telephone_number": "516-636-5775",
            "fax_number": "516-636-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 JERICHO TPKE STE 100W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914457",
            "telephone_number": "516-636-5775",
            "fax_number": "516-636-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAFUSE INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "KAJLA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-636-5775"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Syosset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Ashley Hytell, M.S., CCC-SLP
• Antonia Iavarone, CCC-SLP
• Samy Ibrahim, MD
• Fanny T. Iglesias, LMSW
• Daniel Ilyaich, DDS
• Internal Medicine of North Shore, PC
• Ira J Salzman MD PLLC
• Isago Inc
• Island Psychiatric Services PC
• IV Evolution Medical PLLC

• Home Infusion Therapy Pharmacy in Syosset, NY
• Providers in Syosset, NY by specialty
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.