Aimee S. Altschul-Latzman, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Fairfield, CT
NPI 1003855859 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1003855859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 040346 (CT)
- Practice address
- 140 Sherman St
3Rd Floor
Fairfield, CT 06824-5849 - Phone
- (203) 955-1461
- Fax
- (203) 955-1464
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
140 Sherman St
FL 3
Fairfield, CT 06824-5849
Phone (203) 955-1461
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080108000080 | CT | Practitioner - Allergy/Immunology |
4082794755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207617 | NY | MD | Specialist |
| 040346 | CT | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy and Asthma Consultants of Fairfield County, LLC | Allergy & Immunology | Current |
Accepting new patients |
| Fairfield Plastic Surgery, LLC | Past |
Accepting new patients | |
| ENT and Allergy Associates LLP | Allergy & Immunology | Past |
Accepting new patients |
Locations
140 Sherman St
Fl 3
Fairfield, CT 06824
Phone (203) 538-5682
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 207617 | NY | |
| Allergy & Immunology Physician | 207K00000X | 040346 | CT | Yes |
Addresses
Primary practice location
140 Sherman St
3Rd Floor
Fairfield, CT 06824-5849
Mailing address
140 Sherman St
3Rd Floor
Fairfield, CT 06824-5849
Phone (203) 955-1461
Other providers in Fairfield, CT
- Allergy and Asthma Consultants of Fairfield County, LLC
- Allure Dental Group Corp
- Nicholas Almonte
- Alta Heath Practice LLC
- Eric Louis Alter
- Donna Alves
- Alzheimer'S and Dementia Care
- Amazing Victory LLC
- Nancy C Amberson
- Kelms Amoo-Achampong
All providers in Fairfield, CT · Allergy & Immunology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.