Provider Demographics
NPI:1790830537
Name:ALLERGY & ASTHMA ASSOCIATES OF MONMOUTH COUNTY
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA ASSOCIATES OF MONMOUTH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZECCA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-741-8222
Mailing Address - Street 1:200 WHITE RD
Mailing Address - Street 2:STE. 205
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1150
Mailing Address - Country:US
Mailing Address - Phone:732-741-8222
Mailing Address - Fax:732-741-6217
Practice Address - Street 1:200 WHITE RD
Practice Address - Street 2:STE. 205
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1150
Practice Address - Country:US
Practice Address - Phone:732-741-8222
Practice Address - Fax:732-741-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05845900207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ106862OtherMEDICARE ID
NJDF3936OtherRR MEDICARE