Organization Active NPI

Allergy and Immunology Associates of Teaneck and River Edge P a

  • Allergy & Immunology Physician
  • River Edge, NJ
National Provider Identifier
1679612527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA40562 Issued in NJ
Legal business name
ALLERGY AND IMMUNOLOGY ASSOCIATES OF TEANECK AND RIVER EDGE P A
Practice address
63 Grand Ave
Suite 100
River Edge, NJ 07661-1930
Phone
(201) 487-2900
Fax
(201) 487-1022
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Theodore Falk, M.D.NPI 1912967464
Title
President
Phone
(201) 487-2900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA40562 NJ Primary

Addresses

Primary practice location

63 Grand Ave
Suite 100
River Edge, NJ 07661-1930

Mailing address

63 Grand Ave
Suite 100
River Edge, NJ 07661-1930
Phone (201) 487-2900

Other names 1

  • Teaneck Allergy and Immunology Associates P A Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0112857Allergy & Immunology63 Grand Ave, River Edge, NJ 07661Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

63 Grand Ave
River Edge, NJ 07661
Phone (201) 487-2900

63 Grand Ave
Ste 100
River Edge, NJ 07661
Phone (201) 487-2900

Practitioners & affiliated clinicians

Practitioners 3

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679612527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "SUITE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611930",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "SUITE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611930",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND IMMUNOLOGY ASSOCIATES OF TEANECK AND RIVER EDGE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-487-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA40562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teaneck Allergy and Immunology Associates P A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in River Edge, NJ

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.