Active NPI
Allergy Associates of Waterbury, P.C.
- Allergy & Immunology Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 016561
- Legal business name
- ALLERGY ASSOCIATES OF WATERBURY, P.C.
- Practice address
- 475 Chase Pkwy
Waterbury, CT 06708-3339 - Phone
- (203) 755-4200
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 12, 2015
- 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. Melvyn Ranish, M.D.
- Title
- President
- Phone
- (203) 755-4200
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 | 016561 | CT | Primary |
Addresses
Primary practice location
475 Chase Pkwy
Waterbury, CT 06708-3339
Mailing address
475 Chase Pkwy
Waterbury, CT 06708-3339
Phone (203) 755-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 Oxford Rd
Oxford, CT 06478
Phone (203) 888-5999
475 Chase Pkwy
Waterbury, CT 06708
Phone (203) 755-4200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- Waterbury, CT
- NPI 1326048240
-
- Allergy & Immunology Physician
- Waterbury, CT
- NPI 1184698565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1073602959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083339",
"telephone_number": "203-755-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083339",
"telephone_number": "203-755-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY ASSOCIATES OF WATERBURY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "RANISH",
"authorized_official_first_name": "MELVYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-755-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "016561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.