Organization Active NPI

Allstate Medical Group, LLC

  • General Practice Physician
  • Somerset, NJ
National Provider Identifier
1912328873
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALLSTATE MEDICAL GROUP, LLC
Practice address
16 Johnson Rd
Somerset, NJ 08873-2930
Phone
(908) 315-5299
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Bianca McCall
Title
Owner
Phone
(908) 397-8538

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Physical Therapist 225100000X NU
Physical Rehabilitation Occupational Therapist 225XP0019X NU

Addresses

Primary practice location

16 Johnson Rd
Somerset, NJ 08873-2930

Mailing address

16 Johnson Rd
Somerset, NJ 08873-2930
Phone (908) 315-5299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1912328873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHNSON RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732930",
            "telephone_number": "908-315-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 JOHNSON RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732930",
            "telephone_number": "908-315-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTATE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-397-8538"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.