Provider Demographics
NPI:1003905613
Name:ALLERGY & ASTHMA ASSOCIATES OF NORTH JERSEY PA
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA ASSOCIATES OF NORTH JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WEINREB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-335-5005
Mailing Address - Street 1:199 BALDWIN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2043
Mailing Address - Country:US
Mailing Address - Phone:973-335-5005
Mailing Address - Fax:973-335-3319
Practice Address - Street 1:199 BALDWIN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2043
Practice Address - Country:US
Practice Address - Phone:973-335-5005
Practice Address - Fax:973-335-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04987300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE23746Medicare UPIN
NJ415359Medicare ID - Type Unspecified