Healthcare Provider Details

I. General information

NPI: 1538147202
Provider Name (Legal Business Name): LIVINGSTON INFUSION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 MONTROSE AVE
SOUTH PLAINFIELD NJ
07080-2601
US

IV. Provider business mailing address

603 MONTROSE AVE LIVINGSTON INFUSION CARE
SOUTH PLAINFIELD NJ
07080-2601
US

V. Phone/Fax

Practice location:
  • Phone: 908-226-7450
  • Fax: 908-822-9723
Mailing address:
  • Phone: 908-226-7450
  • Fax: 908-822-9723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO VILA
Title or Position: ASSISTANT VICE PRESIDENT
Credential: PHARMD
Phone: 908-226-7450