Provider Demographics
NPI:1730120437
Name:ALLERGY ASTHMA & SINUS CENTER OF NJ LLC
Entity type:Organization
Organization Name:ALLERGY ASTHMA & SINUS CENTER OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHULHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-252-1050
Mailing Address - Street 1:712 COURTYARD DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4257
Mailing Address - Country:US
Mailing Address - Phone:908-252-1050
Mailing Address - Fax:908-252-1055
Practice Address - Street 1:712 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4257
Practice Address - Country:US
Practice Address - Phone:908-252-1050
Practice Address - Fax:908-252-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04462800207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4615107Medicaid
NJ003925Medicare ID - Type Unspecified
NJ4615107Medicaid