Active NPI
Allergy & Clinical Immunology Center
- Allergy & Immunology (Internal Medicine) Physician
- Marlton, NJ
National Provider Identifier
1831492644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- MA074632
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 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 DirectoryLocations
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.