Individual provider Active NPI

Janet Ang Tumaliuan, MD

  • Allergy & Immunology Physician
  • Forked River, NJ
National Provider Identifier
1346219912
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA65918 Issued in NJ
Practice address
606 Lacey Rd
Forked River, NJ 08731-2205
Phone
(609) 693-6464
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA65918 NJ Primary

Addresses

Primary practice location

606 Lacey Rd
Forked River, NJ 08731-2205

Mailing address

606 Lacey Rd
Forked River, NJ 08731-2205
Phone (609) 693-6464

Other identifiers 1

IdentifierTypeStateIssuer
8147604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000914 NJ Practitioner - Allergy/Immunology 0042252926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

606 Lacey Rd
Forked River, NJ 08731-2205
Phone (609) 693-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA65918NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center of Lacey, LLC Allergy & Immunology CurrentSince Jul 1, 1999 Accepting new patients

Locations

525 Route 70
Ste 3C
Brick, NJ 08723
Phone (732) 370-8006

606 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-6464

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1346219912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312205",
            "telephone_number": "609-693-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312205",
            "telephone_number": "609-693-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMALIUAN",
        "first_name": "JANET",
        "middle_name": "ANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA65918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8147604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.