Advanced Allergy Asthma & Sinus Center, PA
Organization Active NPI Medical Specialty Clinic/Center · Hamilton, NJ
NPI 1619903358 · NPPES record last updated Nov 15, 2014
Key facts
- NPI
- 1619903358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 25MA07700100 (NJ)
- Legal business name
- ADVANCED ALLERGY ASTHMA & SINUS CENTER, PA
- Practice address
- 2333 Whitehorse Mercerville Rd
Suite G
Hamilton, NJ 08619-1946 - Phone
- (609) 584-9200
- Fax
- (609) 584-9299
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Aslam Lateef, M.D.
- Title
- President
- Phone
- (609) 584-9200
Practitioners 1
-
Aslam Lateef, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090317000231 | NJ | Part B Supplier - Clinic/Group Practice | 5193882207 |
Receives reassigned benefits from 1 practitioner Practice locations: Hamilton, NJ |
National Provider Directory
Locations
2333 Whitehorse Mercerville Rd
Ste G
Trenton, NJ 08619
Phone (609) 584-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 25MA07700100 | NJ | Yes |
Addresses
Primary practice location
2333 Whitehorse Mercerville Rd
Suite G
Hamilton, NJ 08619-1946
Mailing address
2333 Whitehorse Mercerville Rd
Suite G
Hamilton, NJ 08619-1946
Phone (609) 584-9200
Other names
- Hamilton Allergy Asthma & Sinus Center
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.