NPIMap

Organization Active NPI

Back Bay Allergy Associates LLC

  • Allergy & Immunology Physician
  • Lowell, MA
National Provider Identifier
1053783449
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
42186 Issued in MA
Legal business name
BACK BAY ALLERGY ASSOCIATES LLC
Practice address
77 E Merrimack St
Suite 6
Lowell, MA 01852-1251
Phone
(978) 452-4626
Fax
(707) 598-0684
NPI assigned
Oct 23, 2015
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BACK BAY ALLERGY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Martin George Ostro, M.D.
Title
Owner/Manager
Phone
(978) 452-4626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 42186 MA Primary

Addresses

Primary practice location

77 E Merrimack St
Suite 6
Lowell, MA 01852-1251

Mailing address

77 E Merrimack St
Suite 6
Lowell, MA 01852-1251
Phone (978) 452-4626

National Provider Directory

National Provider Directory
Part of
Back Bay Allergy Associates

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17905/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1053783449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST",
            "address_2": "SUITE 6",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521251",
            "telephone_number": "978-452-4626",
            "fax_number": "707-598-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST",
            "address_2": "SUITE 6",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521251",
            "telephone_number": "978-452-4626",
            "fax_number": "707-598-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK BAY ALLERGY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK BAY ALLERGY ASSOCIATES LLC",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "OSTRO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "978-452-4626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "42186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.