Center for Allergy, Asthma & Immune Disorders, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03935600 Issued in NJ

Legal business name

CENTER FOR ALLERGY, ASTHMA & IMMUNE DISORDERS, P.A.

Practice address

30 Prospect Ave
Hackensack, NJ 07601-1914

Phone

(201) 996-2065

Fax

(201) 996-2169

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marry Ann Michlelis, M.D.

Title

President

Phone

(201) 996-2065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1780634451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2065",
            "fax_number": "201-996-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2065",
            "fax_number": "201-996-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ALLERGY, ASTHMA & IMMUNE DISORDERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "MICHLELIS",
        "authorized_official_first_name": "MARRY ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-996-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03935600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.