Organization Active NPI

John Infantolino MD PC

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1922248111
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA50922 Issued in NJ
Legal business name
JOHN INFANTOLINO MD PC
Practice address
5 Princeton Ave
Brick, NJ 08724-3515
Phone
(732) 840-0010
Fax
(732) 840-9770
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mr. Thomas C Kerekes
Title
Manager
Phone
(732) 840-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA50922 NJ Primary

Addresses

Primary practice location

5 Princeton Ave
Brick, NJ 08724-3515

Mailing address

5 Princeton Ave
Brick, NJ 08724-3515
Phone (732) 840-0010

National Provider Directory

National Provider Directory

Locations

5 Princeton Ave
Brick, NJ 08724
Phone (732) 840-0010

Practitioners & 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": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1922248111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PRINCETON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243515",
            "telephone_number": "732-840-0010",
            "fax_number": "732-840-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PRINCETON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243515",
            "telephone_number": "732-840-0010",
            "fax_number": "732-840-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN INFANTOLINO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "KEREKES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-840-0010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA50922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.