BASIC HOME INFUSION, INC. (NPI# 1679514509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679514509 |
Entity Type | Organization |
Organization Name | BASIC HOME INFUSION, INC. |
Other Organization Name | BASIC HOME INFUSION |
Practice Address |
1401 Valley Rd 4th Floor Wayne NJ 07470-2073 |
Practice Telephone | 2014750500 |
Practice Fax Number | 9737068009 |
Mailing Telephone | 2014750500 |
Mailing Fax Number | 9737068009 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2017-01-18 |
Authorized Official Name | ROY PUTRINO (CEO PRESIDENT) |
Authorized Official Telephone | 2014750500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
28RS00513100 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2053773 | 01 | |
NJ | 7219709 | 05 |
Other Name | Type Code |
---|---|
BASIC HOME INFUSION | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BASIC HOME INFUSION, INC. | 1401 Valley Rd 4th Fl, Wayne, NJ 07470-2074 |
Colorado Business Entities | Basic Home Infusion, Inc. | 1401 Valley Road, 4th Floor, Wayne, NJ 07470 |
Oregon Corporations, Companies and Business Names | BASIC HOME INFUSION, INC. | 1401 Valley Road, 4th Floor, Wayne, NJ 07470 |
Connecticut Business Registrations | BASIC HOME INFUSION, INC. | 1401 Valley Road, 4th Fl, Wayne, NJ 07470 |
Oklahoma Business Registrations | BASIC HOME INFUSION, INC. | 17-17 Broadway, Fair Lawn, NJ 07410 |
Iowa Business Entities | BASIC HOME INFUSION, INC. | 1401 Valley Road, 4th Fl, Wayne, NJ 07470 |
Indiana Business Entities | BASIC HOME INFUSION, INC. | 1401 Valey Road, 4th Floor, Wayne, NJ 07470 |
Vermont Business Registrations | BASIC HOME INFUSION, INC. | 1401 Valley Rd 4th Fl, Wayne, NJ 07470 |
Massachusetts Corporations | BASIC HOME INFUSION, INC. | 1401 Valley Rd. 4th Flr., Wayne, NJ 07470 |
Washington State Corporations | BASIC HOME INFUSION, INC. | 1401 Valley Rd Ste 4, Wayne, NJ 07470-2074 |
Street Address |
1401 VALLEY RD 4TH FLOOR |
City | WAYNE |
State | NJ |
Zip Code | 07470-2073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811534530 | Alison Scarpignato | Counselor | 1401 Valley Rd, Wayne, NJ 07470-2073 | 2019-12-01 |
1598239923 | Vanessa Noelle Marullo | Counselor | 1401 Valley Rd, Wayne, NJ 07470-2073 | 2019-01-18 |
1043649882 | Implanted Pump Management LLC | Home Infusion | 1401 Valley Rd, Wayne, NJ 07470-2037 | 2013-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
Find all providers in zip 07470 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841737913 | Empire Specialty Pharmacy | Pharmacy | 6509 Bergenline Ave, West New York, NJ 07093-1608 | 2017-01-26 |
1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
1497977748 | Home Care Services, Inc. | Pharmacy | 160 Raritan Center Pkwy, Ste 18, Edison, NJ 08837-3637 | 2007-05-03 |
1487789517 | Quick Chek Corporation | Pharmacy | 1928 Westfield Ave, Scotch Plains, NJ 07076 | 2007-02-22 |
1144259722 | Promptcare Home Infusion, Inc. | Pharmacy | 51 Terminal Ave, Suite B, Clark, NJ 07066-1321 | 2006-07-03 |
1811990047 | Nbn Infusions Inc | Pharmacy | 2 Pin Oak Ln, Unit 250, Cherry Hill, NJ 08003-1632 | 2005-05-23 |
1467018952 | Lifeline Rx LLC | Pharmacy | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-05-10 |
1609167493 | Town & Country Compounding and Consultation LLC, Series T&c Neuromax | Pharmacy | 106 Prospect St, Ridgewood, NJ 07450-4433 | 2011-04-27 |
1669701017 | National Therapeutic Infusions | Pharmacy | 701 West Ave, 3rd Floor South Side, Ocean City, NJ 08226-3770 | 2009-12-14 |
1194906172 | Pharmcare Usa of Edison, Inc. | Pharmacy | 95 Newfield Ave, Suite B, Edison, NJ 08837-3824 | 2007-11-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.