Active NPI
Ally Housecall Physicians, P.C.
- Family Medicine Physician
- Voorhees, NJ
National Provider Identifier
1053711929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB05554200
- Legal business name
- ALLY HOUSECALL PHYSICIANS, P.C.
- Practice address
- 58 Downing LN
Voorhees, NJ 08043-4177 - Phone
- (609) 367-6436
- Fax
- (856) 874-9399
- NPI assigned
- Aug 28, 2014
- 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
- Dr. Randy Zeid, DO
- Title
- President
- Phone
- (609) 367-6436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB05554200 | NJ | Primary |
Addresses
Primary practice location
58 Downing LN
Voorhees, NJ 08043-4177
Mailing address
58 Downing LN
Voorhees, NJ 08043-4177
Phone (609) 560-8474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4590503 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571356800000",
"number": "1053711929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 DOWNING LN",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434177",
"telephone_number": "609-560-8474",
"fax_number": "856-874-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 DOWNING LN",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434177",
"telephone_number": "609-367-6436",
"fax_number": "856-874-9399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLY HOUSECALL PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-28",
"last_updated": "2019-10-18",
"status": "A",
"authorized_official_last_name": "ZEID",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-367-6436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB05554200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4590503",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.