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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: July 19, 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
Phone(609) 450-8872
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
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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

What is BEACON INFUSION HEALTH SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1861949984, enumerated as an "organization" on September 07, 2016.

Where is the provider located?

The provider is located at 1075 STEPHENSON AVENUE SUITE D-2 OCEANPORT, NJ 07757 and the phone number is (609) 450-8872.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.