Organization Active NPI

Allergic Disease Associates PC

  • Allergy & Immunology Physician
  • Philadelphia, PA
National Provider Identifier
1710033477
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGIC DISEASE ASSOCIATES PC
Practice address
205 N Broad St
Suite 300
Philadelphia, PA 19107-1554
Phone
(215) 569-1111
Fax
(215) 569-8797
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Dr. Marc F Goldstein, M.D.NPI 1093863334
Title
President
Phone
(215) 569-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

205 N Broad St
Suite 300
Philadelphia, PA 19107-1554

Mailing address

205 N Broad St
Suite 300
Philadelphia, PA 19107-1554
Phone (215) 569-1111

Other practice location 1

700 Spruce St Ste 406
Philadelphia, PA 19106-4027
Phone (215) 253-4900

Other practice location 2

2059 Briggs Rd Ste 306
Mount Laurel, NJ 08054-4640
Phone (856) 316-0300

Other practice location 3

2137 Welsh Rd Ste 2B
Philadelphia, PA 19115-4963
Phone (215) 677-4433

Other practice location 4

205 N Broad St Ste 300
Philadelphia, PA 19107-1553
Phone (215) 569-1111

Other practice location 5

404 Middletown Blvd Ste 305
Langhorne, PA 19047-1897
Phone (215) 750-7040

Other names 1

  • The Asthma Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405000920 PA Part B Supplier - Clinic/Group Practice 5092708297 Receives reassigned benefits from 11 practitioners
Practice locations: Philadelphia, PA; Langhorne, PA
O20050331000212 NJ Part B Supplier - Clinic/Group Practice 5092708297 Receives reassigned benefits from 8 practitioners
Practice locations: Mount Laurel, NJ

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
39D2157255Allergic Disease Associates PC404 Middletown Blvd, Suite 305, Langhorne, PA 19047Certificate of waiverNov 1, 2026
39D2157258Allergic Disease Associates PC2137 Welsh Rd, Ste 2B, Philadelphia, PA 19115Certificate of waiverNov 1, 2026
39D2157262Allergic Disease Associates PC205 N Broad St, Suite 300, Philadelphia, PA 19107Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

Locations

422 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-1992

210 Ark Rd
Ste 109
Mount Laurel, NJ 08054
Phone (856) 235-8282

2059 Briggs Rd
Mount Laurel, NJ 08054

608 N Broad St
Ste 310
Woodbury, NJ 08096
Phone (856) 251-9951

404 Middletown Blvd
Ste 305
Langhorne, PA 19047
Phone (215) 750-7040

404 Middletown Blvd
Langhorne, PA 19047
Phone (215) 269-3330

2137 Welsh Rd
Ste 2B
Philadelphia, PA 19115
Phone (215) 667-4433

205 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 569-1111

700 Spruce St
Ste 406
Philadelphia, PA 19106
Phone (215) 253-4900

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1710033477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071554",
            "telephone_number": "215-569-1111",
            "fax_number": "215-569-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071554",
            "telephone_number": "215-569-1111",
            "fax_number": "215-569-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Spruce St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191064027",
            "country_code": "US",
            "telephone_number": "215-253-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2059 Briggs Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544640",
            "country_code": "US",
            "telephone_number": "856-316-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2137 Welsh Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191154963",
            "country_code": "US",
            "telephone_number": "215-677-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Broad St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071553",
            "country_code": "US",
            "telephone_number": "215-569-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Middletown Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471897",
            "country_code": "US",
            "telephone_number": "215-750-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGIC DISEASE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-569-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.