Englewood Allergy Associates, LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25MA05783700 Issued in NJ

Legal business name

ENGLEWOOD ALLERGY ASSOCIATES, LLC

Practice address

309 Engle St
Suite 2
Englewood, NJ 07631-1824

Phone

(201) 568-1480

Fax

(201) 568-1326

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Bruce From, M.D.

Title

President

Phone

(201) 568-1480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649474594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "address_2": "SUITE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-568-1480",
            "fax_number": "201-568-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "address_2": "SUITE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-568-1480",
            "fax_number": "201-568-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD ALLERGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROM",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-568-1480",
        "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": "25MA05783700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.