Infectious Disease Group of North Jersey

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASE GROUP OF NORTH JERSEY

Practice address

631 Broadway
Bayonne, NJ 07002-3846

Phone

(239) 597-0704

Fax

(239) 597-0704

NPI assigned

May 20, 2006

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Boghossian, M.D.NPI 1083666010

Title

President

Phone

(239) 597-0704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 6

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.

• Jack Boghossian, M.D.

  • Infectious Disease Physician
  • Bayonne, NJ
  • NPI 1083666010
  Medicare reassignment NPD Authorized official
• Raymund Vincent Sebastian Sison, M.D.

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1598023152
  Medicare reassignment NPD
• Ariff Admani, M.D.

  • Infectious Disease Physician
  • Belleville, NJ
  • NPI 1770554263
  NPD (past)
• Donald J Beggs, MD

  • Infectious Disease Physician
  • Belleville, NJ
  • NPI 1699749119
  NPD (past)
• Lavanya Jitendranath, M.D.

  • Infectious Disease Physician
  • Hartford, CT
  • NPI 1033164363
  NPD (past)
• Edward S Johnson, MD

  • Infectious Disease Physician
  • Fort Myers, FL
  • NPI 1184699290
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1083668479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070020093",
            "telephone_number": "239-597-0704",
            "fax_number": "239-597-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023846",
            "telephone_number": "239-597-0704",
            "fax_number": "239-597-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE GROUP OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "BOGHOSSIAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-597-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8491305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ijkg Opco LLC (Bayonne Medical Center)
• Imaging Guided Solutions, P.C.
• Immaculate Chiropractic PC
• Immaculate Chiropractic PLLC
• Immaculate Chiropractic PLLC
• Infinite Therapy Solutions Kids LLC
• Infinite Therapy Solutions LLP
• Innate Health & Wellness
• Innate Restorative Health and Wellness
• Kevin Innella

• Infectious Disease Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.