Active NPI
Northeast Allergy Asthma & Immunology, PC
- Allergy & Immunology Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- NORTHEAST ALLERGY ASTHMA & IMMUNOLOGY, PC
- Practice address
- 1400 Centre St Ste 205
Newton, MA 02459-2415 - Phone
- (617) 765-0228
- Fax
- (617) 340-6466
- NPI assigned
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jordan E. Scott, M.D.
- Title
- President/Physician
- Phone
- (978) 537-4805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
1400 Centre St Ste 205
Newton, MA 02459-2415
Mailing address
79 Erdman Way
Suite 101
Leominster, MA 01453
Phone (978) 537-4805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Allergy & Immunology Physician
- Sudbury, MA
- NPI 1861815656
O20100416000306
-
- Allergy & Immunology Physician
- Leominster, MA
- NPI 1972835809
O20100416000306
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Allergy Asthma and Immunology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Sudbury, MA
- NPI 1861815656
Locations
616 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-3111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBFECA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Leominster, MA
- NPI 1275517245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1023398294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 ERDMAN WAY",
"address_2": "SUITE 101",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-537-4805",
"fax_number": "978-537-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CENTRE ST STE 205",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592415",
"telephone_number": "617-765-0228",
"fax_number": "617-340-6466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ALLERGY ASTHMA & IMMUNOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "978-537-4805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.