Allergy and Asthma Center of Northern New Jersey LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA42598 Issued in NJ

Legal business name

ALLERGY AND ASTHMA CENTER OF NORTHERN NEW JERSEY LLC

Practice address

500 Piermont Rd Ste 304
Closter, NJ 07624-2846

Phone

(201) 564-7777

Fax

(201) 564-7776

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Neil I Minikes, M.D.

Title

President

Phone

(201) 564-7777

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14712/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1811219447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD STE 304",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242846",
            "telephone_number": "201-564-7777",
            "fax_number": "201-564-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD STE 304",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242846",
            "telephone_number": "201-564-7777",
            "fax_number": "201-564-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER OF NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "MINIKES",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-564-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA42598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Closter, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.