VITAL INFUSIONS – NPI #1508437880
Clinic/Center

VITAL INFUSIONS is an AHC clinic located in GARDEN CITY, NY. NPPES has assigned the NPI number 1508437880 to VITAL INFUSIONS on July 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VITAL INFUSIONS” is a dba name, the actual legal business name for this organization is PRESTIGE IV HEALTH & WELLNESS. The primary taxonomy selected by this provider is 261QI0500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Infusion Therapy

The NPI profile was previously updated about 4 years ago on Sep 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITAL INFUSIONS below.

NPI Profile for
PRESTIGE IV HEALTH & WELLNESS

NPI Number
1508437880
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRESTIGE IV HEALTH & WELLNESS
Doing Business As (dba): VITAL INFUSIONS
Primary location
1325 FRANKLIN AVE
GARDEN CITY, NY 11530-1666
Phone: (347) 306-0338 Fax:
Mailing address
243 TRAVIS AVE
ELMONT, NY 11003-3040
Phone: Fax:
Organization Subpart
No
Authorized Official
YASMIN MEROUANE
ADMINISTRATOR
Phone: (347) 306-0338
Updated
Certification Date
Jul 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QI0500X
- Clinic/Center / Infusion Therapy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.