Active NPI
Allergy and Immunology Associates of Teaneck and River Edge P a
- Allergy & Immunology Physician
- River Edge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MA40562
- 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, 2020
- 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. Theodore Falk, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0112857 | Allergy & Immunology | Certificate of waiver | Oct 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Allergy & Immunology Physician
- River Edge, NJ
- NPI 1912967464
-
- Allergy & Immunology Physician
- River Edge, NJ
- NPI 1124116371
-
- Nurse Practitioner
- River Edge, NJ
- NPI 1508450446
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.