1265643522 NPI number — THE NATIONAL ASTHMA & ALLERGY CENTER

Table of content: (NPI 1265643522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265643522 NPI number — THE NATIONAL ASTHMA & ALLERGY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE NATIONAL ASTHMA & ALLERGY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265643522
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30 RIDINGS PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08540-8639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-422-3404
Provider Business Mailing Address Fax Number:
732-422-3404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5722 7TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220-3903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-439-5958
Provider Business Practice Location Address Fax Number:
718-492-4931
Provider Enumeration Date:
05/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THAW
Authorized Official First Name:
EMERALD
Authorized Official Middle Name:
Authorized Official Title or Position:
M.D
Authorized Official Telephone Number:
732-422-3404

Provider Taxonomy Codes

  • Taxonomy code: 207KA0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5271429 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1997618 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5670162 . This is a "AETNA" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: P2117240 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 267340201 . This is a "HEALTH PLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 51227300694 . This is a "CENTER CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 282998 . This is a "WELL CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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