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General NPI Number Information
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NPI Number | 1902761414
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Entity Type | Organization
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Legal Business Name | NEW JERSEY INFUSION PA
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 766 SHREWSBURY AVE STE 306
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City | TINTON FALLS
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State | NJ
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Zip | 07724-3001
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Country | US
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Telephone | 732-962-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 15340 S JOG RD STE 215
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2170
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Country | US
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Telephone | 561-559-9800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBIN WIDROFF
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Credential |
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Telephone | 646-732-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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