Organization Active NPI

Infinity Diagnostic Group, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Shrewsbury, NJ
National Provider Identifier
1710141353
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
INFINITY DIAGNOSTIC GROUP, LLC
Practice address
450 Shrewsbury PLZ # 376
Shrewsbury, NJ 07702-4325
Phone
(732) 870-6377
Fax
(732) 571-0196
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Lydia Wikoff
Title
Manager
Phone
(732) 870-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

450 Shrewsbury PLZ # 376
Shrewsbury, NJ 07702-4325

Mailing address

450 Shrewsbury PLZ # 376
Shrewsbury, NJ 07702-4325
Phone (732) 870-6377

National Provider Directory

National Provider Directory

Locations

450 Shrewsbury PLZ 376
Shrewsbury, NJ 07702
Phone (732) 870-6377

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1710141353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SHREWSBURY PLZ # 376",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024325",
            "telephone_number": "732-870-6377",
            "fax_number": "732-571-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SHREWSBURY PLZ # 376",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024325",
            "telephone_number": "732-870-6377",
            "fax_number": "732-571-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DIAGNOSTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WIKOFF",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-870-6377"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.