Hydrate Your Way
Home Infusion in Newark, NJ. Organization (NPI-2).
NPI number1245084086
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1245084086
- Entity type
- Organization (NPI-2)
- Legal business name
- Hydrate Your Way
- Organization subpart
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251F00000X | Home Infusion | – | – | Yes |
Practice location
1012 Scott StreetNewark, NJ 07102
Phone 862-423-2085
Mailing address
10-12 Scott St Apt 2Newark, NJ 07102-3493
Phone 862-902-3094
Authorized official
Joy Shannon
Owner /Ceo
8629023094
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.