Provider Demographics
NPI:1518355254
Name:INFINITY ORTHOPEDICS, L.LC.
Entity Type:Organization
Organization Name:INFINITY ORTHOPEDICS, L.LC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WARSHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-364-7801
Mailing Address - Street 1:1450 ROUTE 22 STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2619
Mailing Address - Country:US
Mailing Address - Phone:908-364-7801
Mailing Address - Fax:908-222-2757
Practice Address - Street 1:1450 ROUTE 22 STE 200
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2619
Practice Address - Country:US
Practice Address - Phone:908-364-7801
Practice Address - Fax:908-222-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05525300207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ633372C40Medicare PIN
NJG01886207Medicare UPIN