Organization Active NPI

The Marshall P Allegra MD LLC

  • Specialist
  • Hazlet, NJ
National Provider Identifier
1215224035
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04454200 Issued in NJ
Legal business name
THE MARSHALL P ALLEGRA MD LLC
Practice address
879 Poole Ave
Hazlet, NJ 07730-2041
Phone
(732) 888-8388
Fax
(732) 888-5595
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Marshall Allegra, M.D.NPI 1740364256
Title
Doctor
Phone
(732) 888-8388

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA04454200 NJ Primary

Addresses

Primary practice location

879 Poole Ave
Hazlet, NJ 07730-2041

Mailing address

879 Poole Ave
Hazlet, NJ 07730-2041
Phone (732) 888-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000471 NJ Part B Supplier - Clinic/Group Practice 3375712052 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bank, NJ; South Amboy, NJ; Houmdel, NJ; Hazlet, NJ

National Provider Directory

National Provider Directory

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": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1215224035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302041",
            "telephone_number": "732-888-8388",
            "fax_number": "732-888-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302041",
            "telephone_number": "732-888-8388",
            "fax_number": "732-888-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARSHALL P ALLEGRA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ALLEGRA",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-888-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04454200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.

Verify at the official NPI Registry.