Infectious Disease Group Of North Jersey

LBN: Infectious Disease Group Of North Jersey
Infectious Disease Group Of North Jersey is an health care organization with primary practice located at 631 Broadway , Bayonne NJ 07002-3846. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Infectious Disease Group Of North Jersey can be contacted via phone (239) 597-0704, or through Boghossian, Jack via phone (239) 597-0704.

Contact Information

Primary practice address
631 Broadway Bayonne NJ 07002-3846
Phone: (239) 597-0704
Fax: (239) 597-0704
Website:
Map and Directions
Authorized official contact:
Name: Boghossian, Jack Doctor of Medicine (MD)
Phone: (239) 597-0704

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1083668479
LBN Legal business name Infectious Disease Group Of North Jersey
DBA Doing business as
Authorized official Boghossian, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Nov 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083668479 NPPES
New Jersey MEDICAID 8491305

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