Active NPI
Infectious Disease Specialists of NJ, Inc.
- Specialist
- Union, NJ
National Provider Identifier
1285669358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MB48316
- Legal business name
- INFECTIOUS DISEASE SPECIALISTS OF NJ, INC.
- Practice address
- 1308 Morris Ave
204
Union, NJ 07083-3331 - Phone
- (908) 810-9200
- Fax
- (908) 810-9260
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Roland, D.O.
- Title
- Physician
- Phone
- (908) 810-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MB48316 | NJ | Primary |
Addresses
Primary practice location
1308 Morris Ave
204
Union, NJ 07083-3331
Mailing address
1308 Morris Ave
204
Union, NJ 07083-3331
Phone (908) 810-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1971204 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285669358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 MORRIS AVE",
"address_2": "204",
"city": "UNION",
"state": "NJ",
"postal_code": "070833331",
"telephone_number": "908-810-9200",
"fax_number": "908-810-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 MORRIS AVE",
"address_2": "204",
"city": "UNION",
"state": "NJ",
"postal_code": "070833331",
"telephone_number": "908-810-9200",
"fax_number": "908-810-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASE SPECIALISTS OF NJ, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROLAND",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "908-810-9200",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MB48316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1971204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
- Olufunmilayo O. Ilori, APN
- Imaging Associates PA
- Helen C Imo-Balogun
- Stephen Imperato, PHARM D
- Infectioius Disease Specialists of NJ, Inc.
- Michael Anthony Ingrassia
- Robin R Innella, D.O.
- Inner Journey Counseling, LLC
- Inner Light Mental Health and Addiction Services L.L.C
- Colleen Marie Intatano, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.