BEACON INFUSION HEALTH SERVICES LLC
NPI 1861949984
Clinic/Center in Oceanport, NJ

Active since September 07, 2016CLIA 31D2086303 · Waiver
1075 STEPHENSON AVENUE, SUITE D-2, OCEANPORT, NJ 07757(609) 450-8872(949) 724-3345 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Infusion Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON INFUSION HEALTH SERVICES LLC (NPI 1861949984) is a healthcare organization registered as a clinic/center in Oceanport, New Jersey and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Derrick Johnson, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1861949984
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEACON INFUSION HEALTH SERVICES LLC
Location Address1075 STEPHENSON AVENUE, SUITE D-2Oceanport, NJ 07757
Mailing Address1075 Stephenson Avenue, Suite D-2Oceanport, NJ 07757 · (609) 450-8872 · Fax (949) 724-3345
Fax(949) 724-3345
Organization SubpartNo
Authorized OfficialDerrick JohnsonOperations Director · (917) 882-1835
Enumeration DateSeptember 7, 2016
NPI 1861949984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1075 STEPHENSON AVENUE, Oceanport, NJ 07757

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2086303

Beacon Health & Social Services · Oceanport, NJ
Active · expires Oct 30, 2026
CLIA Number31D2086303
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorGlenn D. Meyers
Laboratory Phone(732) 806-3219
Laboratory LocationBeacon Health & Social Services1075 Stephenson Avenue Suite B, Oceanport, NJ 07757
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Infusion Health Services LLC's NPI number?

The NPI number for Beacon Infusion Health Services LLC is 1861949984. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Beacon Infusion Health Services LLC located?

Beacon Infusion Health Services LLC is located at 1075 Stephenson Avenue Suite D-2, Oceanport, NJ 07757. The listed phone number is (609) 450-8872.

What is Beacon Infusion Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Beacon Infusion Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2086303) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Infusion Health Services LLC was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.