Organization Active NPI

Implanted Pump Management, LLC

  • Infusion Therapy Clinic/Center
  • Charleston, WV
National Provider Identifier
1952648404
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
IMPLANTED PUMP MANAGEMENT, LLC
Practice address
311 Laidley St.
Suite 202
Charleston, WV 25301
Phone
(304) 400-4510
Fax
(304) 400-4542
NPI assigned
Jan 3, 2013
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Marilynn Recine
Title
Director of Billing
Phone
(888) 822-7428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Infusion Therapy Clinic/Center 261QI0500X NU Primary

Addresses

Primary practice location

311 Laidley St.
Suite 202
Charleston, WV 25301

Mailing address

1401 Valley Rd
Wayne, NJ 07470-2037
Phone (201) 475-9635

Other practice location 1

360 S Garden Way Ste 290
Eugene, OR 97401-8175
Phone (888) 545-8185

Other practice location 2

4707 Greenleaf Ct Ste A
Modesto, CA 95356-8733
Phone (888) 545-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL, OR, MO, WI, WA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20200608000046 WV Part B Supplier - Pharmacy 6002237666 Practice locations: Charleston, WV
O20200617001296 FL Part B Supplier - Pharmacy 6002237666 Practice locations: Naples, FL
O20230824000642 OR Part B Supplier - Pharmacy 6002237666 Practice locations: Eugene, OR
O20230925000477 MO Part B Supplier - Pharmacy 6002237666 Practice locations: Florissant, MO
O20231226000488 WI Part B Supplier - Pharmacy 6002237666 Practice locations: Neenah, WI
O20240130000366 WA Part B Supplier - Pharmacy 6002237666 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

311 Laidley St
Ste 202
Charleston, WV 25301
Phone (201) 475-9635

311 Laidley St
Ste 202
Charleston, WV 25301
Phone (201) 475-9635

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1952648404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702037",
            "telephone_number": "201-475-9635",
            "fax_number": "201-475-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LAIDLEY ST.",
            "address_2": "SUITE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-400-4510",
            "fax_number": "304-400-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 S Garden Way Ste 290",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018175",
            "country_code": "US",
            "telephone_number": "888-545-8185",
            "fax_number": "973-706-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4707 Greenleaf Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953568733",
            "country_code": "US",
            "telephone_number": "888-545-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPLANTED PUMP MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "RECINE",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "888-822-7428"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.