Active NPI
Adult & Pediatric Allergist of Central Jersey PA
- Allergy & Immunology Physician
- Edison, NJ
National Provider Identifier
1629131651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ADULT & PEDIATRIC ALLERGIST OF CENTRAL JERSEY PA
- Practice address
- 1740 Oak Tree Rd
Edison, NJ 08820-2847 - Phone
- (732) 321-1920
- Fax
- (732) 906-1781
- NPI assigned
- Dec 19, 2006
- Last updated
- Sep 2, 2008
- 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
- Mrs. Joann Dejesus
- Title
- Office Manager
- Phone
- (732) 321-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | NJ | Primary |
Addresses
Primary practice location
1740 Oak Tree Rd
Edison, NJ 08820-2847
Mailing address
1740 Oak Tree Rd
Edison, NJ 08820-2847
Phone (732) 321-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1398300 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
260 State Route 34
Matawan, NJ 07747
Phone (732) 566-0066
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Allergy & Immunology Physician
- Edison, NJ
- NPI 1467479147
-
- Family Nurse Practitioner
- Manalapan, NJ
- NPI 1699313916
-
- Allergy & Immunology Physician
- Edison, NJ
- NPI 1689607871
-
- Specialist
- Edison, NJ
- NPI 1093784050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1629131651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "ADULT & PEDIATRIC ALLERGIST OF CENTRAL JERSEY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "DEJESUS",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "732-321-1920",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1398300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.