Allergy Group NJ LLC
Organization Active NPI Allergy & Immunology Physician · Holmdel, NJ
NPI 1265083273 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1265083273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALLERGY GROUP NJ LLC
- Practice address
- 717 N Beers St
Holmdel, NJ 07733-1524 - Phone
- (732) 683-1071
- Fax
- (732) 683-1070
- NPI assigned
- Sep 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Karen Sweeney
- Title
- Billing Manager
- Phone
- (732) 683-1071
Practitioners 5
-
Caroline Basta, DO
-
Sonia S. Guirguis, M.D.
-
Linden D Ho, MD
-
Maria Bohn, RD, RN, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191230000082 | NJ | Part B Supplier - Clinic/Group Practice | 0648604645 |
Receives reassigned benefits from 3 practitioners Practice locations: Holmdel, NJ; Manalapan, NJ |
National Provider Directory
Locations
100 Craig Rd
Ste 204
Manalapan, NJ 07726
Phone (732) 278-1160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes |
Addresses
Primary practice location
717 N Beers St
Holmdel, NJ 07733-1524
Mailing address
100 Craig Rd
Manalapan, NJ 07726-8787
Phone (732) 683-1071
Other providers in Holmdel, NJ
- Alexandra Julia Ali
- Syed Numahair Ali
- Michael S Alkon
- All in Home Rehab LLC
- Allergy & Asthma Group LLC
- Rebekah Allocco
- Alteon Health New Jersey HM PC
- Alteon Health New Jersey Ic PC
- Alteon Health New Jersey PC
- Aimee Altes
All providers in Holmdel, NJ · Allergy & Immunology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.