Provider Demographics
NPI:1235694506
Name:PRESTIGE INFUSIONS LLC
Entity Type:Organization
Organization Name:PRESTIGE INFUSIONS LLC
Other - Org Name:PRESTIGE HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:AYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-653-8844
Mailing Address - Street 1:6601 LYONS RD STE L6
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3639
Mailing Address - Country:US
Mailing Address - Phone:561-212-3816
Mailing Address - Fax:973-909-4540
Practice Address - Street 1:116 BOONTON AVE
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2910
Practice Address - Country:US
Practice Address - Phone:914-906-4004
Practice Address - Fax:973-909-4540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion