Active NPI
Allentown Medical Associates
- Internal Medicine Physician
- Cream Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA47072
- Legal business name
- ALLENTOWN MEDICAL ASSOCIATES
- Practice address
- 163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622 - Phone
- (609) 758-1100
- Fax
- (609) 758-3188
- NPI assigned
- Dec 16, 2006
- Last updated
- Mar 17, 2022
- 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
- Dr. Alicia Sue Peller, M.D.
- Title
- Coowner
- Phone
- (609) 758-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA47072 | NJ | Primary |
| Pediatrics Physician | 208000000X | MA47072 | NJ |
Addresses
Primary practice location
163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622
Mailing address
163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622
Phone (609) 758-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Allentown Medical Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Cream Ridge, NJ
- NPI 1487975777
Locations
163 Burlington Path Rd
Ste L
Cream Ridge, NJ 08514
Phone (609) 758-1100
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Cream Ridge, NJ
- NPI 1912947029
-
- Pediatrics Physician
- Cream Ridge, NJ
- NPI 1548216617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1659433357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 BURLINGTON PATH RD",
"address_2": "CREAM RIDGE PROFESSIONAL CENTER UNIT L",
"city": "CREAM RIDGE",
"state": "NJ",
"postal_code": "085141622",
"telephone_number": "609-758-1100",
"fax_number": "609-758-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BURLINGTON PATH RD",
"address_2": "CREAM RIDGE PROFESSIONAL CENTER UNIT L",
"city": "CREAM RIDGE",
"state": "NJ",
"postal_code": "085141622",
"telephone_number": "609-758-1100",
"fax_number": "609-758-3188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENTOWN MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-16",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "PELLER",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "COOWNER",
"authorized_official_telephone_number": "609-758-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA47072",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA47072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cream Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.