J Dermatology and Allergy PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MA03956200 Issued in NJ

Legal business name

J DERMATOLOGY AND ALLERGY PC

Practice address

460 Sylvan Ave
Suite 205
Englewood Cliffs, NJ 07632-2919

Phone

(201) 567-0404

Fax

(201) 567-5590

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Eun H Sheen, MDNPI 1255316675

Title

President

Phone

(201) 567-0404

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eun H Sheen, MD

  • Allergy & Immunology Physician
  • Fort Lee, NJ
  • NPI 1255316675
  NPD (past) Authorized official

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1942541990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE",
            "address_2": "SUITE 205",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE",
            "address_2": "SUITE 205",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322919",
            "telephone_number": "201-567-0404",
            "fax_number": "201-567-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DERMATOLOGY AND ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "SHEEN",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA03956200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, 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 Mar 14, 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.