Hackensack Allergy & Asthma Center, LLC

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

License

25MA06521100 Issued in NJ

Legal business name

HACKENSACK ALLERGY & ASTHMA CENTER, LLC

Practice address

211 Essex St
Suite 401
Hackensack, NJ 07601-3231

Phone

(201) 343-6673

Fax

(201) 343-7555

NPI assigned

Jan 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Aquinas Selvaggi, M.D.NPI 1083664197

Title

Managing Member

Phone

(201) 343-6673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Aquinas Selvaggi, M.D.

  • Specialist
  • Hackensack, NJ
  • NPI 1083664197
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1891033288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOLDIER HILL RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491201",
            "telephone_number": "201-343-6673",
            "fax_number": "201-343-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "SUITE 401",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-343-6673",
            "fax_number": "201-343-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK ALLERGY & ASTHMA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SELVAGGI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AQUINAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-343-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NJ",
            "license": "25MA06521100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ha
• Shafath Habeeb
• Fatima Habehh
• Marisol Habrahamshon, PSY.D.
• Hackensack Acucare
• Hackensack Audiology and Hearing Aid Associates
• Hackensack Audiology and Hearing Aid Associates, LLC
• Hackensack Board of Education
• Hackensack Cancer Surgery
• Hackensack Cardiovascular Group, P.C

• Allergy & Immunology Physician in Hackensack, NJ
• Providers in Hackensack, 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 Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.