Organization Active NPI

Infinity Medical Services LLC

  • Family Nurse Practitioner
  • Bordentown, NJ
National Provider Identifier
1538575907
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00124500 Issued in NJ
Legal business name
INFINITY MEDICAL SERVICES LLC
Practice address
402 Rising Sun Rd
Inside Petro Stopping Center
Bordentown, NJ 08505-4709
Phone
(800) 991-5197
Fax
(800) 991-0297
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
David C Smerina, FNPNPI 1134138050
Title
President
Phone
(800) 991-5197

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA05910300 NJ
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 26NJ00124500 NJ Primary

Addresses

Primary practice location

402 Rising Sun Rd
Inside Petro Stopping Center
Bordentown, NJ 08505-4709

Mailing address

31 Potomac CT
Freehold, NJ 07728
Phone (800) 991-5197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000314 NJ Part B Supplier - Clinic/Group Practice 8628372323 Receives reassigned benefits from 1 practitioner
Practice locations: Bordentown, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2087765Infinity Medical Services402 Rising Sun Road, Bordentown, NJ 08505Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

402 Rising Sun Rd
Bordentown, NJ 08505
Phone (800) 991-5197

Practitioners & affiliated clinicians

Practitioners 2

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": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1538575907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 POTOMAC CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "800-991-5197",
            "fax_number": "800-991-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RISING SUN RD",
            "address_2": "INSIDE PETRO STOPPING CENTER",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054709",
            "telephone_number": "800-991-5197",
            "fax_number": "800-991-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "SMERINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-991-5197",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05910300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00124500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.