Organization Active NPI

The Allergy & Clinical Immunology Center

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Marlton, NJ
National Provider Identifier
1639487507
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
MA074632 Issued in NJ
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

Updated by the provider on Sep 14, 2010

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)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KI0005X MA074632 NJ Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.