Active NPI
Asthma & Allergy Associates P.C.
- Allergy Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mariah Pieretti, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
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.