Active NPI
Irene C Haralabatos, M.D.
- Allergy & Immunology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD060935L
- Practice address
- 205 N Broad St
Suite 300
Philadelphia, PA 19107-1554 - Phone
- (215) 569-1111
- Fax
- (215) 569-8797
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD060935L | PA | Primary |
| Allergy & Immunology Physician | 207K00000X | 25MA06891700 | NJ |
Addresses
Primary practice location
205 N Broad St
Suite 300
Philadelphia, PA 19107-1554
Mailing address
205 N Broad St
Suite 300
Philadelphia, PA 19107-1554
Phone (215) 569-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergic Disease Associates PC | Allergy & Immunology | Current | Accepting new patients |
| Allergy and Asthma Specialty Physicians, LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
2059 Briggs Rd
Ste 306
Mount Laurel, NJ 08054
Phone (856) 316-0300
404 Middletown Blvd
Ste 305
Langhorne, PA 19047
Phone (215) 750-7040
2137 Welsh Rd
Ste 2B
Philadelphia, PA 19115
Phone (215) 667-4433
822 Pine St
Ste 1D
Philadelphia, PA 19107
Phone (215) 922-5080
205 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 569-1111
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Mount Laurel, NJ
- NPI 1417503368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1386792430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N BROAD ST",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071554",
"telephone_number": "215-569-1111",
"fax_number": "215-569-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BROAD ST",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071554",
"telephone_number": "215-569-1111",
"fax_number": "215-569-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARALABATOS",
"first_name": "IRENE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD060935L",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA06891700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.