NJ Allergy MD, LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

NJ ALLERGY MD, LLC

Practice address

622 Eagle Rock Ave Ste G3
West Orange, NJ 07052-2994

Phone

(973) 424-1300

Fax

(973) 424-1722

NPI assigned

Nov 27, 2017

Last updated

Feb 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Satya D NarisetyNPI 1942407861

Title

President

Phone

(973) 424-1300

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Satya D Narisety, M.D.

  • Allergy & Immunology Physician
  • West Orange, NJ
  • NPI 1942407861
  Authorized official Same address or phone

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1649784869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CHESTNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395502",
            "telephone_number": "908-295-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE STE G3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-424-1300",
            "fax_number": "973-424-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Prospect Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524204",
            "country_code": "US",
            "telephone_number": "973-424-1300",
            "fax_number": "973-424-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2oo Belleville Turnpike",
            "address_2": "1st floor",
            "address_purpose": "LOCATION",
            "city": "North Arlington",
            "state": "NJ",
            "postal_code": "07031",
            "country_code": "US",
            "telephone_number": "973-424-1300",
            "fax_number": "973-424-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ ALLERGY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "NARISETY",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-424-1300"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.njallergymd.com",
            "affiliation": "N",
            "address_1": "155 Prospect Ave Ste 108",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shaine Easo Ninan, PHARM D, RPH
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• Allergy & Immunology Physician in West Orange, NJ
• Providers in West Orange, 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 Feb 11, 2022; 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.