Individual provider Active NPI

Philip L Pasternak, MD

  • Allergy & Immunology Physician
  • Lakewood, NJ
National Provider Identifier
1093761546
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA07657600 Issued in NJ
Practice address
911 E County Line Rd
Suite 201
Lakewood, NJ 08701-2069
Phone
(732) 254-4000
Fax
(732) 901-4337
NPI assigned
May 26, 2006
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA07657600 NJ Primary

Addresses

Primary practice location

911 E County Line Rd
Suite 201
Lakewood, NJ 08701-2069

Mailing address

PO Box 67
East Brunswick, NJ 08816-0067
Phone (732) 254-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000139 NJ Practitioner - Allergy/Immunology 4385663541 Practice locations: East Brunswick, NJ; Lakewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 254-4000

911 E County Line Rd
Lakewood, NJ 08701-2069
Phone (732) 901-4300

PO Box
Suite 67
East Brunswick, NJ 08816-0067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07657600NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Health Center Past Accepting new patients
Ramon Delmonte, MD, P.C. Past Accepting new patients
Womens Comprehensive Health Care of New Jersey Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIGAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1093761546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088160067",
            "telephone_number": "732-254-4000",
            "fax_number": "732-901-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E COUNTY LINE RD",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012069",
            "telephone_number": "732-254-4000",
            "fax_number": "732-901-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA07657600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.