Organization Active NPI

Our Doctor in the House LLC

  • Allergy Physician
  • Randolph, NJ
National Provider Identifier
1134639461
Registry record updated Sep 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
OUR DOCTOR IN THE HOUSE LLC
Practice address
400 Route 10 W Ste 1And2
Randolph, NJ 07869-2104
Phone
(973) 891-1321
Fax
(973) 206-5049
NPI assigned
Sep 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2017

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

Authorized official

Name
Dr. Prema Prasad, MDNPI 1821034141
Title
Medical Director
Phone
(973) 979-1536

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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

400 Route 10 W Ste 1And2
Randolph, NJ 07869-2104

Mailing address

14 Bryce Way
Morris Plains, NJ 07950-2545
Phone (973) 891-1321

National Provider Directory

National Provider Directory

Locations

400 Route 10 W
Ste 1AND2
Randolph, NJ 07869
Phone (973) 891-1321

Practitioners & 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": "1506729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506729600000",
    "number": "1134639461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRYCE WAY",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502545",
            "telephone_number": "973-891-1321",
            "fax_number": "973-206-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 10 W STE 1AND2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692104",
            "telephone_number": "973-891-1321",
            "fax_number": "973-206-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR DOCTOR IN THE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-09-30",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-979-1536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.