Infinisurg, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INFINISURG, LLC

Practice address

556 Eagle Rock Ave
Roseland, NJ 07068-1503

Phone

(862) 660-7770

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By 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

Mr. Pavel Pogodin

Title

Ceo

Phone

(201) 981-0020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1174368567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681503",
            "telephone_number": "862-660-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681503",
            "telephone_number": "862-660-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINISURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "POGODIN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-981-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hoehn, LCSW
• Hsnnj Chiro PC (HealthSource of Roseland)
• Infectious Disease Associates
• Infectious Disease Specialists LLC
• Infiinihealth Ipa, LLC
• Inna Ioffe, MD
• J.P. Makhlouf M.D. F.a.Ap. Tiziana Anello M.D F.a.a.P P.a. (Roseland Pediatrics)
• Ira Jacobs, MD
• Kimberly Nicole Jaumot, MS, RD, LDN
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.

• Ambulatory Surgical Clinic/Center in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.