MOUNTAIN CREST MEDICAL LLC NPI 1255907663

NPI Information

  • NPI: 1255907663
  • Provider Name: MOUNTAIN CREST MEDICAL LLC
  • Classification: Allergy & Immunology - 207KI0005X
  • Specialization: Clinical & Laboratory Immunology
  • Entity Type: Organization
  • Address: 331 NEWMAN SPRINGS RD BLDG 1
    RED BANK, NJ
    ZIP 07701
  • Phone: (914) 376-6100

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NPI Details

MOUNTAIN CREST MEDICAL LLC is a clinical and laboratory immunology allergy immunology in Red Bank, NJ. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. MOUNTAIN CREST MEDICAL LLC NPI is 1255907663. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

331 NEWMAN SPRINGS RD BLDG 1
RED BANK, NJ
ZIP 07701-688
Phone: (914) 376-6100

The provider's authorized official is John Salerno .
The authorized official title is Owner and has the following contact phone number (914) 490-3741.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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