Infinihealth Medical Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

INFINIHEALTH MEDICAL GROUP

Practice address

776 Northfield Ave Ste 101
West Orange, NJ 07052-1140

Phone

(973) 324-0400

NPI assigned

Mar 4, 2024

Last updated

Mar 19, 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

Roman Kosiborod, DONPI 1831192079

Title

Managing Member

Phone

(201) 982-4706

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Roman N Kosiborod, D.O.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1831192079
  Authorized official Same address or phone

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1851158182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 NORTHFIELD AVE STE 101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521140",
            "telephone_number": "201-982-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 NORTHFIELD AVE STE 101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521140",
            "telephone_number": "973-324-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-982-4706",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ima Post Acute Care Physicians LLC
• Imaging Specialists, LLC
• Imani Care Medical Transportation
• In Tender Care LLC
• Inadvance Medicine Associates East (Passport Health)
• Inner Image Counseling & Consulting Services
• Innovision Eye Center
• Integrative Medicine of NJ PC
• Internal Medicine Faculty Practice Associates at St Barnabas Med Ctr
• International Spine & Sports Institute LLC

• Anesthesiology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.