Organization Active NPI

Infinity Care Medical Group

  • Legal Medicine
  • East Orange, NJ
National Provider Identifier
1023205267
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MA71467 Issued in NJ
Legal business name
INFINITY CARE MEDICAL GROUP
Practice address
134 Evergreen PL
Suite 701
East Orange, NJ 07018-2011
Phone
(973) 395-0215
Fax
(973) 395-0217
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William B Ebron
Title
Owner
Phone
(973) 395-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X MA71467 NJ Primary

Addresses

Primary practice location

134 Evergreen PL
Suite 701
East Orange, NJ 07018-2011

Mailing address

134 Evergreen PL
Suite 701
East Orange, NJ 07018-2011
Phone (973) 395-0215

National Provider Directory

National Provider Directory

Locations

134 Evergreen Pl
Ste 701
East Orange, NJ 07018
Phone (973) 395-0215

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1023205267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "address_2": "SUITE 701",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "973-395-0215",
            "fax_number": "973-395-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "address_2": "SUITE 701",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "973-395-0215",
            "fax_number": "973-395-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "EBRON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-395-0215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA71467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.