DARRELL LOREN SOUTHERN (NPI# 1548268907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548268907 |
| Entity Type | Individual |
| Full Name | DARRELL LOREN SOUTHERN |
| Credential | MD |
| Practice Address |
24 Vreeland Dr Skillman NJ 08558-2621 |
| Practice Telephone | 6099212202 |
| Practice Fax Number | 6099241468 |
| Mailing Telephone | 6099212202 |
| Mailing Fax Number | 6099241468 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MA31265 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3856305 | 05 | |
| NJ | DEA | AS7638806 | 01 |
| Street Address |
24 VREELAND DR |
| City | SKILLMAN |
| State | NJ |
| Zip Code | 08558-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722991 | Kristen M Sikorski | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| 1093086456 | Princeton Center for Clinical Research | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2012-01-17 |
| 1730408048 | Shaili Niranjan Shah | Allergy & Immunology | 24 Vreeland Dr, Ste 1, Skillman, NJ 08558-2621 | 2010-05-26 |
| 1528146669 | Jayanti Juluru Rao | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2006-11-02 |
| 1477641660 | Princeton Allergy & Asthma Associates, Pa | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2006-10-11 |
| 1033116801 | Andrew J Pedinoff | Specialist | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| 1366449142 | Julie A Caucino | Specialist | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| 1962409755 | Helen S Skolnick | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183693 | Pablo Lapuerta | Internal Medicine | 5 Seminole Rd, Skillman, NJ 08558 | 2018-11-13 |
| 1750877544 | Jeffrey S. Mannheimer, Pt, Phd, PC | Physical Therapist | 88 Orchard Road, Suite 11 In The Carriage House, Skillman, NJ 08558 | 2018-07-05 |
| 1366764417 | Rifat Parvez | Pharmacist | 35 Robin Drive, Skillman, NJ 08558 | 2010-02-17 |
| 1285964320 | Brighter Dental Care Montgomery & Skillman | Dentist | 46 Vreeland Drive, Skillman, NJ 08558 | 2010-01-13 |
| 1952637993 | Mary Susan Blanks | Obstetrics & Gynecology | 36 East Ridge Road, Skillman, NJ 08558 | 2009-10-27 |
| 1578722393 | American Health Equipment Company Inc | Durable Medical Equipment & Medical Supplies | 111 Colfax Rd, Skillman, NJ 08558 | 2008-06-06 |
| 1306039219 | Christine M Beach | Social Worker | Kenneth W. Willis Md, 168 Tamarack Circle, Skillman, NJ 08558 | 2007-08-23 |
| 1295936698 | Malcolm Joseph Zarnfaller | Chiropractor | 400 Mountain View Rd, Skillman, NJ 08558 | 2007-05-31 |
| 1912024068 | Natalie Star | Social Worker | 144 Tamarack Circle, Skillman, NJ 08558 | 2007-03-23 |
| 1093848103 | Aparma Chawla | Dentist | 67 Tamarack Circle, Skillman, NJ 08558 | 2007-03-14 |
| Find all providers in zip 08558 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722991 | Kristen M Sikorski | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| 1730408048 | Shaili Niranjan Shah | Allergy & Immunology | 24 Vreeland Dr, Ste 1, Skillman, NJ 08558-2621 | 2010-05-26 |
| 1528146669 | Jayanti Juluru Rao | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2006-11-02 |
| 1477641660 | Princeton Allergy & Asthma Associates, Pa | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2006-10-11 |
| 1962409755 | Helen S Skolnick | Allergy & Immunology | 24 Vreeland Dr, Skillman, NJ 08558-2621 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161578 | Advocare, LLC | Allergy & Immunology | 1 Eves Dr Ste 109, Marlton, NJ 08053-3125 | 2020-07-15 |
| 1699391565 | Advocare, LLC | Allergy & Immunology | 23-00 Route 208 Ste 2-1, Fair Lawn, NJ 07410-1558 | 2020-06-17 |
| 1134770142 | Allergy Affiliates-michael Viksman Md LLC | Allergy & Immunology | 368 Lakehurst Rd Ste 304, Toms River, NJ 08755-7339 | 2019-09-23 |
| 1184283574 | Health Solutions Network | Allergy & Immunology | 1801 Route 37 E, Toms River, NJ 08753-7165 | 2019-06-10 |
| 1538646096 | Elta Group LLC | Allergy & Immunology | 9b Brookline Ct, Princeton, NJ 08540-1742 | 2018-07-26 |
| 1649784869 | Nj Allergy Md, LLC | Allergy & Immunology | 155 Prospect Ave Ste 108, West Orange, NJ 07052-4204 | 2017-11-27 |
| 1740727411 | Gargi Patel | Allergy & Immunology | 1000 Route 9 N Ste 200, Woodbridge, NJ 07095-1200 | 2017-01-19 |
| 1831648344 | Ulyana Trytko | Allergy & Immunology | 802 W Park Ave Ste 213, Ocean, NJ 07712-8526 | 2016-09-26 |
| 1376921460 | Medcorps Asthma and Pulmonary Specialists LLC | Allergy & Immunology | 100 Kings Way E Ste D1, Sewell, NJ 08080-2238 | 2015-05-11 |
| 1366830820 | Morgan & Associates | Allergy & Immunology | 400 Park Place, Secaucus, NJ 07094 | 2015-01-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.