Organization Active NPI

Asthma & Allergy Associates P.C.

  • Allergy Physician
  • Ithaca, NY
National Provider Identifier
1063503191
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ASTHMA & ALLERGY ASSOCIATES P.C.
Practice address
904 E Shore Dr
Ithaca, NY 14850-1026
Phone
(607) 257-6563
Fax
(607) 257-1420
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Mariah Pieretti, M.D.NPI 1356355275
Title
MD
Phone
(607) 257-6563

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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

904 E Shore Dr
Ithaca, NY 14850-1026

Mailing address

904 E Shore Dr
Ithaca, NY 14850-1026
Phone (607) 257-6563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000403 NY Part B Supplier - Clinic/Group Practice 0840216388 Receives reassigned benefits from 12 practitioners
Practice locations: Elmira, NY; Fayetteville, NY; Ithaca, NY; Vestal, NY; Cortland, NY

National Provider Directory

National Provider Directory

Locations

3533 State Route 281
#B
Cortland, NY 13045
Phone (607) 753-9604

109 W Rd
Cortland, NY 13045
Phone (607) 753-9604

3533 West Rd
#B
Cortland, NY 13045

3533 State Route 281
Cortland, NY 13045

216 W Gray St
Elmira, NY 14901
Phone (607) 733-5086

4000 Medical Center Dr
Ste 402
Fayetteville, NY 13066
Phone (315) 663-0005

904 E Shore Dr
Ithaca, NY 14850
Phone (607) 257-6563

1550 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 786-4423

3209 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 798-1987

1550 Vestal Pkwy E
Ste 4
Vestal, NY 13850
Phone (607) 766-0235

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1063503191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E SHORE DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501026",
            "telephone_number": "607-257-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E SHORE DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501026",
            "telephone_number": "607-257-6563",
            "fax_number": "607-257-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA & ALLERGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "PIERETTI",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "607-257-6563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.