Provider Demographics
NPI:1538421003
Name:ALLIED RESPIRATORY CARE PC
Entity type:Organization
Organization Name:ALLIED RESPIRATORY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINNICI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, CPFT
Authorized Official - Phone:201-213-7183
Mailing Address - Street 1:20 W RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3162
Mailing Address - Country:US
Mailing Address - Phone:201-444-3450
Mailing Address - Fax:201-839-3313
Practice Address - Street 1:20 W RIDGEWOOD AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3162
Practice Address - Country:US
Practice Address - Phone:201-632-3093
Practice Address - Fax:973-200-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00561300261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SA688147Medicare PIN