Active NPI
Allergic Disease Associates PC
- Allergy & Immunology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
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 |
|---|---|---|---|
| 39D2157255 | Allergic Disease Associates PC | Certificate of waiver | Nov 1, 2026 |
| 39D2157258 | Allergic Disease Associates PC | Certificate of waiver | Nov 1, 2026 |
| 39D2157262 | Allergic Disease Associates PC | Certificate of waiver | Nov 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1356107874
-
- Nurse Practitioner
- Philadelphia, PA
- NPI 1952278517
-
- Physician Assistant
- King of Prussia, PA
- NPI 1942896808
-
- Allergy & Immunology Physician
- Roanoke, VA
- NPI 1275940991
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.