The Institute of Allergy,Immunology & Asthma for Adults and Children P

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25MA07893400 Issued in NJ

Legal business name

THE INSTITUTE OF ALLERGY,IMMUNOLOGY & ASTHMA FOR ADULTS AND CHILDREN P

Practice address

630 Salem Avenue
Westbury Professional Building
Woodbury, NJ 08096

Phone

(856) 845-8300

Fax

(856) 845-1225

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faina M Gutin, M.D.

Title

Owner

Phone

(856) 845-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1861880957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SALEM AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-845-8300",
            "fax_number": "856-845-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SALEM AVENUE",
            "address_2": "WESTBURY PROFESSIONAL BUILDING",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-845-8300",
            "fax_number": "856-845-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE OF ALLERGY,IMMUNOLOGY & ASTHMA FOR ADULTS AND CHILDREN P",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "GUTIN",
        "authorized_official_first_name": "FAINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-845-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA07893400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Teitelman, DO
• David A Temmermand, DO
• Jacquelyn Terch
• The Center for Cancer & Hematologic Disease
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Potential in US LLC
• The Potential in US LLC
• The Potential in US LLC
• Three WM Operating LLC (Three Woodbury Mews)
• Three Woodbury Mews, LLC

• Allergy & Immunology Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.