Allergy Diagnostic and Treatment Center LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

25MA04167900 Issued in NJ

Legal business name

ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC

Practice address

33 Overlook Rd
Suite 307
Summit, NJ 07901-3570

Phone

(908) 522-9696

Fax

(908) 522-3070

NPI assigned

Mar 2, 2007

Last updated

May 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Emily Martinez

Title

Office Manager

Phone

(908) 522-9696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine M Cisko, PA-C

  • Allergy Physician
  • Summit, NJ
  • NPI 1780884346
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1437287141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 307",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-522-9696",
            "fax_number": "908-522-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 307",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-522-9696",
            "fax_number": "908-522-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY DIAGNOSTIC AND TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-522-9696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA04167900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Canton Alderson, M.D.
• Darcie A Alexis, LCSW
• Mohammed Aliou
• Diana L Allen, CCC-SLP
• Jennifer Allen, MA., CCC-SLP
• Allure Rehab LLC
• Shams Almallah, MD
• Alpha Behavioral Care PA
• Brenda Altamar
• Michael Khayrallah Altarcha

• Allergy Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Allergy Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.