# INFECTIOUS DISEASE GROUP OF NORTH JERSEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083668479
- **Authorized official:** DR. JACK BOGHOSSIAN M.D. (PRESIDENT)
- **Authorized official phone:** (239) 597-0704

## Contact information

- **Practice address:** 631 BROADWAY, BAYONNE, NJ 07002-3846
- **Practice address phone:** (239) 597-0704
- **Practice address fax:** (239) 597-0704
- **Mailing address:** PO BOX 93, BAYONNE, NJ 07002-0093
- **Mailing address phone:** (239) 597-0704
- **Mailing address fax:** (239) 597-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 11/18/2019