Organization Active NPI

Long Island Allergy and Asthma PC

  • Allergy & Immunology Physician
  • Stony Brook, NY
National Provider Identifier
1003161571
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
161005 Issued in NY
Legal business name
LONG ISLAND ALLERGY AND ASTHMA PC
Practice address
2500 Nesconset Hwy BLDG 17a
Stony Brook, NY 11790-2563
Phone
(631) 751-6262
Fax
(631) 751-6268
NPI assigned
Jul 19, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diane H Cymerman, M.D.NPI 1912907486
Title
President
Phone
(631) 751-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 161005 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 17a
Stony Brook, NY 11790-2563

Mailing address

2500 Nesconset Hwy BLDG 17a
Stony Brook, NY 11790-2563
Phone (631) 751-6262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1003161571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 17A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902563",
            "telephone_number": "631-751-6262",
            "fax_number": "631-751-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 17A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902563",
            "telephone_number": "631-751-6262",
            "fax_number": "631-751-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ALLERGY AND ASTHMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "CYMERMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "161005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.