Organization Active NPI

Allergy and Asthma Comprehensive Care

  • Allergy & Immunology Physician
  • Wyckoff, NJ
National Provider Identifier
1639433410
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA07980000 Issued in NJ
Legal business name
ALLERGY AND ASTHMA COMPREHENSIVE CARE
Practice address
541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150
Phone
(201) 652-6211
Fax
(201) 652-0321
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Alexander Marotta, M.D.
Title
Owner
Phone
(201) 906-6247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 25MA07980000 NJ Primary

Addresses

Primary practice location

541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150

Mailing address

541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150
Phone (201) 652-6211

National Provider Directory

National Provider Directory

Locations

541 Cedar Hill Ave
Ste 8
Wyckoff, NJ 07481
Phone (201) 652-6211

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1639433410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "address_2": "SUITE 8",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-6211",
            "fax_number": "201-652-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "address_2": "SUITE 8",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-6211",
            "fax_number": "201-652-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA COMPREHENSIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "MAROTTA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-906-6247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA07980000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.