Individual provider Active NPI

Linden D Ho, MD

  • Allergy & Immunology Physician
  • Holmdel, NJ
National Provider Identifier
1881754794
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA04495200 Issued in NJ
Practice address
717 N Beers St
Suite 2a
Holmdel, NJ 07733-1524
Phone
(732) 739-0660
Fax
(732) 739-1406
NPI assigned
Dec 11, 2006
Last updated
May 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA04495200 NJ Primary

Addresses

Primary practice location

717 N Beers St
Suite 2a
Holmdel, NJ 07733-1524

Mailing address

100 Craig Rd
Suite 204
Manalapan, NJ 07726-8787
Phone (732) 683-1071

Other identifiers 1

IdentifierTypeStateIssuer
39933300MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000395 NJ Practitioner - Allergy/Immunology 8527252980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04495200NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Group NJ LLC Allergy & Immunology CurrentSince Jan 1, 2020 Accepting new patients
Allergy Affiliates-Michael Viksman MD LLC Allergy & Immunology PastSince Sep 29, 2019 Accepting new patients

Locations

717 N Beers St
Holmdel, NJ 07733
Phone (732) 264-2440

717 N Beers St
Ste 2A
Holmdel, NJ 07733
Phone (732) 683-1071

100 Craig Rd
Manalapan, NJ 07726
Phone (732) 683-1071

100 Craig Rd
Ste 204
Manalapan, NJ 07726
Phone (732) 278-1160

368 Lakehurst Rd
Ste 304
Toms River, NJ 08755
Phone (732) 349-6856

Interoperability endpoints

  • Direct secure messaging: lindend.ho@allergyaffiliates-lindenho.chartmakerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1881754794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD",
            "address_2": "SUITE 204",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268787",
            "telephone_number": "732-683-1071",
            "fax_number": "732-683-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 2A",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-739-0660",
            "fax_number": "732-739-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "LINDEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04495200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39933300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.