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INFECTIOUS DISEASE GROUP OF NORTH JERSEY
NPI 1083668479
Internal Medicine - Infectious Disease in Bayonne, NJ

Active since May 20, 2006
631 BROADWAY, BAYONNE, NJ 07002(239) 597-0704(239) 597-0704 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Infectious Disease Group Of North Jersey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INFECTIOUS DISEASE GROUP OF NORTH JERSEY (NPI 1083668479) is a healthcare organization registered as an infectious disease in Bayonne, New Jersey and active in the NPI registry since May 2006. The organization lists Jack Boghossian, President, as its authorized official.

NPPES Registry Identity

NPI1083668479
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameINFECTIOUS DISEASE GROUP OF NORTH JERSEY
Location Address631 BROADWAYBayonne, NJ 07002-3846
Mailing AddressPo Box 93Bayonne, NJ 07002-0093 · (239) 597-0704 · Fax (239) 597-0709
Phone(239) 597-0704
Fax(239) 597-0704
Organization SubpartNo
Authorized OfficialJack BoghossianPresident · (239) 597-0704
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 18, 2019
✔ NPI 1083668479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
631 BROADWAY, Bayonne, NJ 07002
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Other Identifiers 1

Medicaid8491305NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Infectious Disease Group Of North Jersey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Infectious Disease Group Of North Jersey, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jack Boghossian, M.D.
Infectious Disease
NPI 1083666010
631 BROADWAY
Bayonne, NJ 07002
(973) 364-2682
✔ PECOS✔ Accepts MedicareSame address
Raymund Vincent Sison, M.D.
Infectious Disease
NPI 1598023152
111 CENTRAL AVE DEPARTMENT OF MEDICAL EDUCATION
Newark, NJ 07102
(201) 920-9948
✔ PECOS6.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Infectious Disease Group Of North Jersey's NPI number?

The NPI number for Infectious Disease Group Of North Jersey is 1083668479. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Infectious Disease Group Of North Jersey located?

Infectious Disease Group Of North Jersey is located at 631 Broadway, Bayonne, NJ 07002. The listed phone number is (239) 597-0704.

What is Infectious Disease Group Of North Jersey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Infectious Disease Group Of North Jersey enrolled in Medicare?

Yes. Infectious Disease Group Of North Jersey is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Infectious Disease Group Of North Jersey?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Infectious Disease, reassign their Medicare billing to Infectious Disease Group Of North Jersey. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Infectious Disease Group Of North Jersey was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.