Provider Demographics
NPI:1265643522
Name:THE NATIONAL ASTHMA & ALLERGY CENTER
Entity Type:Organization
Organization Name:THE NATIONAL ASTHMA & ALLERGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:EMERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:THAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-422-3404
Mailing Address - Street 1:30 RIDINGS PKWY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8639
Mailing Address - Country:US
Mailing Address - Phone:732-422-3404
Mailing Address - Fax:732-422-3404
Practice Address - Street 1:5722 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3903
Practice Address - Country:US
Practice Address - Phone:718-439-5958
Practice Address - Fax:718-492-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5271429OtherCIGNA
NJ1997618OtherUNITED HEALTH CARE
NM5670162OtherAETNA
NYP2117240OtherOXFORD
NY267340201OtherHEALTH PLUS
NY51227300694OtherCENTER CARE
NY282998OtherWELL CARE
NY282998OtherWELL CARE
NY5271429OtherCIGNA
NY267340201OtherHEALTH PLUS