Provider Demographics
NPI:1538575907
Name:INFINITY MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:INFINITY MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMERINA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:800-991-5197
Mailing Address - Street 1:31 POTOMAC CT
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:800-991-5197
Mailing Address - Fax:800-991-0297
Practice Address - Street 1:402 RISING SUN RD
Practice Address - Street 2:INSIDE PETRO STOPPING CENTER
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4709
Practice Address - Country:US
Practice Address - Phone:800-991-5197
Practice Address - Fax:800-991-0297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05910300207R00000X
NJ26NJ00124500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty