Organization Active NPI

Newu Hydration Management, LLC.

  • Infusion Therapy Clinic/Center
  • San Jose, CA
National Provider Identifier
1982423117
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
NEWU HYDRATION MANAGEMENT, LLC.
Doing business as
NewU Hydration Lounge
Practice address
393 Blossom Hill Rd Ste 290
San Jose, CA 95123-1654
Phone
(408) 461-9125
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Constance Ngoh-Ebanda, RN, CNS
Title
Manger
Phone
(408) 461-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

393 Blossom Hill Rd Ste 290
San Jose, CA 95123-1654

Mailing address

393 Blossom Hill Rd Ste 290
San Jose, CA 95123-1654
Phone (408) 461-9125

Other names 1

  • NewU Hydration Lounge Doing business as

National Provider Directory

National Provider Directory

Locations

393 Blossom Hill Rd
Ste 290
San Jose, CA 95123
Phone (408) 281-9606

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1982423117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 290",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231654",
            "telephone_number": "408-461-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 290",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231654",
            "telephone_number": "408-461-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWU HYDRATION MANAGEMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "NGOH-EBANDA",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "408-461-9125",
        "authorized_official_credential": "RN, CNS"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewU Hydration Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.