Individual provider Active NPI

Ligaya Victoria Centeno, M.D.FACAAI

  • Allergy & Immunology Physician
  • Edison, NJ
National Provider Identifier
1467479147
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA05764400 Issued in NJ
Practice address
1740 Oak Tree Rd
Edison, NJ 08820-2847
Phone
(732) 321-1920
Fax
(732) 906-1781
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 25MA05764400 NJ Primary

Addresses

Primary practice location

1740 Oak Tree Rd
Edison, NJ 08820-2847

Mailing address

737 Dixie LN
Plainfield, NJ 07062-2018
Phone (908) 757-7759

Other identifiers 1

IdentifierTypeStateIssuer
6230504MedicaidNJ

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
I20060113000290 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 1254354400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Pediatric Allergist of Central Jersey PAGroup PAC ID 4183790983, 2 clinicians
Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

1740 Oak Tree Rd
Edison, NJ 08820-2847
Phone (732) 906-1717

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Allergist of Central Jersey PA Allergy & Immunology CurrentSince Sep 18, 2008 Accepting new patients
Jeffrey Weiss MD PA CurrentSince Mar 20, 2025 Accepting new patients

Locations

1740 Oak Tree Rd
Ste A
Edison, NJ 08820
Phone (732) 906-1717

1740 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5000

260 State Route 34
Matawan, NJ 07747
Phone (732) 566-0066

261 James St
Ste 1D
Morristown, NJ 07960
Phone (973) 267-3646

44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199

Interoperability endpoints

  • Direct secure messaging: centeno.ligaya.004.0300100@adacj.meditab.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1467479147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 DIXIE LN",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070622018",
            "telephone_number": "908-757-7759",
            "fax_number": "732-906-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202847",
            "telephone_number": "732-321-1920",
            "fax_number": "732-906-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "LIGAYA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.FACAAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA05764400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6230504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.