Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Infectious Diseases Services of New Jersey LLC

Organization Internal Medicine Physician · NPI 1053632380

Infectious Diseases Services of New Jersey LLC is an Internal Medicine Physician in South Orange, New Jersey. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 S Orange Ave
South Orange, NJ 07079-2636
Phone: (973) 200-3600
Fax: (973) 821-3651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1053632380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikhail Mouravski — Practice Manager · (973) 953-6673
NPI enumeratedJune 22, 2010
Last updated in NPPESJune 22, 2010
Mailing address511 S Orange Ave, South Orange, NJ 07079-2636

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