Basic Information
| Provider Information | |||||||||
| NPI: | 1578672390 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEMPEL | ||||||||
| FirstName: | ALLEN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1352 RIVER AVE | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7323705100 | ||||||||
| FaxNumber: | 7329019240 | ||||||||
| Practice Location | |||||||||
| Address1: | 1352 RIVER AVE | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7323705100 | ||||||||
| FaxNumber: | 7329019240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 05/16/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 46678 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 2008301 | 05 | NJ | MEDICAID |