Provider Demographics
NPI:1336476423
Name:ALLERGIC AND ASTHMATIC COMPREHENSIVE CARE OF NJ
Entity Type:Organization
Organization Name:ALLERGIC AND ASTHMATIC COMPREHENSIVE CARE OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:APPLEBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-335-1700
Mailing Address - Street 1:3799 ROUTE 46
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1055
Mailing Address - Country:US
Mailing Address - Phone:973-335-1700
Mailing Address - Fax:973-335-4711
Practice Address - Street 1:3799 ROUTE 46
Practice Address - Street 2:SUITE 205
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1055
Practice Address - Country:US
Practice Address - Phone:973-335-1700
Practice Address - Fax:973-335-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05993300207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ769762Medicare PIN