Organization Active NPI

New Jersey Infusion PA

  • Multi-Specialty Clinic/Center
  • Freehold, NJ
National Provider Identifier
1063241644
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEW JERSEY INFUSION PA
Practice address
800 W Main St Ste 112
Freehold, NJ 07728-2555
Phone
(732) 962-9800
Fax
(732) 962-9801
NPI assigned
Jul 31, 2024
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Robin Widroff
Title
Ao
Phone
(646) 732-1818

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary
Gastroenterology Physician 207RG0100X

Addresses

Primary practice location

800 W Main St Ste 112
Freehold, NJ 07728-2555

Mailing address

15340 S Jog Rd Ste 215
Delray Beach, FL 33446-2170
Phone (561) 559-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926000169 NJ Part B Supplier - Clinic/Group Practice 6002357316 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Infusion PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6274 Linton Blvd
Ste 105
Delray Beach, FL 33484

800 W Main St
Ste 112
Freehold, NJ 07728
Phone (732) 962-9800

8 Forrestal Rd S
#215
Princeton, NJ 08540

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1063241644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 S JOG RD STE 215",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462170",
            "telephone_number": "561-559-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 112",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282555",
            "telephone_number": "732-962-9800",
            "fax_number": "732-962-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INFUSION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "WIDROFF",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "646-732-1818"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.