Active NPI
The Allergy & Clinical Immunology Center
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Marlton, NJ
National Provider Identifier
1639487507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- License
- MA074632
- Legal business name
- THE ALLERGY & CLINICAL IMMUNOLOGY CENTER
- Practice address
- 230 N Maple Ave
Marlton, NJ 08053-9400 - Phone
- (856) 797-8886
- NPI assigned
- Sep 14, 2010
- 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
- Jin Ping Guo
- Title
- Owner/ Physician
- Phone
- (856) 797-8886
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | MA074632 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | MA074632 | NJ |
Addresses
Primary practice location
230 N Maple Ave
Marlton, NJ 08053-9400
Mailing address
6 Daffodil LN
Lumberton, NJ 08048-4808
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1639487507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DAFFODIL LN",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080484808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MAPLE AVE",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539400",
"telephone_number": "856-797-8886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ALLERGY & CLINICAL IMMUNOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "JIN",
"authorized_official_middle_name": "PING",
"authorized_official_title_or_position": "OWNER/ PHYSICIAN",
"authorized_official_telephone_number": "856-797-8886"
},
"taxonomies": [
{
"code": "207KI0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "NJ",
"license": "MA074632",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA074632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.