Active NPI
Garden State Pulmonary Associates
- Pulmonary Disease Physician
- Marlton, NJ
National Provider Identifier
1295789113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- GARDEN STATE PULMONARY ASSOCIATES
- Practice address
- 520 Lippincott Dr
Marlton, NJ 08053-4804 - Phone
- (856) 596-9057
- Fax
- (856) 596-0837
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen J Salm, MD
- Title
- President
- Phone
- (856) 596-9057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
520 Lippincott Dr
Marlton, NJ 08053-4804
Mailing address
520 Lippincott Dr
Marlton, NJ 08053-4804
Phone (856) 596-9057
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3361900 | Medicaid | NJ | |
| 0038294 | Other | NJ | AETNA |
| B7268 | Other | NJ | RAILROAD MEDICARE |
| 0116035000 | Other | NJ | AMERIHEALTH HMO |
National Provider Directory
National Provider DirectoryLocations
520 Lippincott Dr
#A
Marlton, NJ 08053
Phone (609) 596-9057
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Marlton, NJ
- NPI 1417947094
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295789113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534804",
"telephone_number": "856-596-9057",
"fax_number": "856-596-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534804",
"telephone_number": "856-596-9057",
"fax_number": "856-596-0837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE PULMONARY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALM",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-596-9057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3361900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0038294",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "B7268",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0116035000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
- Marianne Catherine Garcynski, PT
- Garden Dental LLC
- Garden State Allergy and Asthma Center PC
- Garden State Behavioar Health Services South LLC
- Garden State Medical Assoc P a
- Anna Lauren Gardner, OTR/L
- Steven Jay Garin, DMD
- Teresa M Garvey, MS RD LDN
- Gastroenterology Associates PA
- Eugene Anthony Gatti, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.