Haven Allergy LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

HAVEN ALLERGY LLC

Practice address

81 Oak PL
Fair Haven, NJ 07704-3509

Phone

(609) 969-1540

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Rolfes

Title

Business Manager

Phone

(609) 969-1540

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selene Bantz, M.D.

  • Allergy & Immunology Physician
  • New York, NY
  • NPI 1619111366
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1194588772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 OAK PL",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043509",
            "telephone_number": "609-969-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 OAK PL",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043509",
            "telephone_number": "609-969-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "ROLFES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "609-969-1540"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619111366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Ferguson, DMD
• Alison Winter Fernandez, MSW, LCSW
• Elizabeth S. Gredell, D.O.
• Kelly Elizabeth Greene, LCSW, LCADC
• Marissa Solis Guzman, APN-C
• Dorothy Medina Hoyt-Rehm, D.M.D
• Johns Hopkins University
• Elzbieta L Konopka
• Edward J Kuch, DDS
• Alison P Kucich

• Allergy & Immunology Physician in Fair Haven, NJ
• Providers in Fair Haven, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.