Allergy & Asthma of South Jersey

Key facts

NPI

1104046838

Entity type

Organization (NPI type 2)

Primary specialty

Allergy Physician 207KA0200X

License

MA43090 (NJ)

Legal business name

ALLERGY & ASTHMA OF SOUTH JERSEY

Practice address

1122 N High St
Millville, NJ 08332-2529

Phone

(856) 825-4100

NPI assigned

Apr 26, 2007

Organization subpart

No

Authorized official

Name

Robert E Coifman, M.D. NPI 1477552024

Title

President

Phone

(856) 825-4100

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Coifman, MD Allergy & Immunology (Internal Medicine) Physician · Millville, NJ · NPI 1477552024
  Medicare reassignment NPD Authorized official ALLERGY · NJ

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104046838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322529",
            "telephone_number": "856-825-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322529",
            "telephone_number": "856-825-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COIFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-825-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "MA43090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Millville, NJ · Allergy Physician in New Jersey