Active NPI
Allergy Asthma and Immunology Management PA
- Allergy & Immunology Physician
- Moorestown, NJ
National Provider Identifier
1013972546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA02538600
- Legal business name
- ALLERGY ASTHMA AND IMMUNOLOGY MANAGEMENT PA
- Practice address
- 701 E Main Street
Victoria Medical Arts BLDG
Moorestown, NJ 08057 - Phone
- (856) 235-2651
- Fax
- (856) 231-1005
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stanley Lane, MD
- Title
- President
- Phone
- (856) 235-2651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25MA02538600 | NJ | Primary |
Addresses
Primary practice location
701 E Main Street
Victoria Medical Arts BLDG
Moorestown, NJ 08057
Mailing address
701 E Main Street
Victoria Medical Arts BLDG
Moorestown, NJ 08057
Phone (856) 235-2651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189502 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
701 E Main St
Ste 6
Moorestown, NJ 08057
Phone (856) 235-2651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Gilbert, AZ
- NPI 1942273701
Allergy & Immunology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322006400000",
"number": "1013972546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E MAIN STREET",
"address_2": "VICTORIA MEDICAL ARTS BLDG",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "08057",
"telephone_number": "856-235-2651",
"fax_number": "856-231-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MAIN STREET",
"address_2": "VICTORIA MEDICAL ARTS BLDG",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "08057",
"telephone_number": "856-235-2651",
"fax_number": "856-231-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY ASTHMA AND IMMUNOLOGY MANAGEMENT PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2011-11-23",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-235-2651",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA02538600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0189502",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.