Active NPI
South Jersey Allergy and Asthma Assoc
- Allergy & Immunology Physician
- Cherry Hill, NJ
National Provider Identifier
1558468066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- SOUTH JERSEY ALLERGY AND ASTHMA ASSOC
- Practice address
- 108 Kings Hwy S
Cherry Hill, NJ 08034-2504 - Phone
- (856) 428-5120
- Fax
- (856) 428-0264
- NPI assigned
- Sep 19, 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
- Linda M Graziano, MD
- Title
- Physician Owner
- Phone
- (856) 428-5120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
108 Kings Hwy S
Cherry Hill, NJ 08034-2504
Mailing address
108 Kings Hwy S
Cherry Hill, NJ 08034-2504
Phone (856) 428-5120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2666707 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
108 Kings Hwy S
Cherry Hill, NJ 08034
Phone (856) 428-5120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349308800000",
"number": "1558468066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 KINGS HWY S",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342504",
"telephone_number": "856-428-5120",
"fax_number": "856-428-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 KINGS HWY S",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342504",
"telephone_number": "856-428-5120",
"fax_number": "856-428-0264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH JERSEY ALLERGY AND ASTHMA ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2012-10-04",
"status": "A",
"authorized_official_last_name": "GRAZIANO",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "856-428-5120",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2666707",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- Diane Soukup
- Katherine Veronica Soule, MS, CCC-SLP
- Sound Choice Hearing Aid Centers, LLC
- Sandiya Soundara
- Teresa Sousa, MSN, FNP-BC
- South Jersey Behavioral Health Resources Incorporated
- South Jersey Center for Inflammatory Disease's
- South Jersey Dental Studio LLC
- South Jersey Developmental Pediatrics LLC
- South Jersey Ear Nose & Throat Associates P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.