Organization Active NPI

Allergy & Clinical Immunology Center

  • Allergy & Immunology (Internal Medicine) Physician
  • Marlton, NJ
National Provider Identifier
1831492644
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
MA074632 Issued in NJ
Legal business name
ALLERGY & CLINICAL IMMUNOLOGY CENTER
Practice address
230 N Maple Ave
Marlton, NJ 08053-9400
Phone
(856) 797-8886
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Jin Ping Guo
Title
Physician
Phone
(856) 797-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X MA074632 NJ Primary

Addresses

Primary practice location

230 N Maple Ave
Marlton, NJ 08053-9400

Mailing address

6 Daffodil LN
Lumberton, NJ 08048-4808
Phone (856) 797-8886

National Provider Directory

National Provider Directory

Locations

1 Eves Dr
Ste 9
Marlton, NJ 08053
Phone (856) 797-8886

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1831492644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DAFFODIL LN",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484808",
            "telephone_number": "856-797-8886",
            "fax_number": "856-985-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "856-797-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & CLINICAL IMMUNOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "PING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-797-8886"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "MA074632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.