NPIMap

Organization Active NPI

Allergy & Asthma Center of Massachusetts, P.C.

  • Allergy Physician
  • Chestnut Hill, MA
National Provider Identifier
1073642708
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
60529 Issued in MA
Legal business name
ALLERGY & ASTHMA CENTER OF MASSACHUSETTS, P.C.
Practice address
25 Boylston St
Suite 215
Chestnut Hill, MA 02467-1715
Phone
(617) 232-1690
Fax
(617) 739-7082
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Daniel Gary Steinberg, M.D.NPI 1023055217
Title
President
Phone
(617) 232-1690

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 60529 MA Primary

Addresses

Primary practice location

25 Boylston St
Suite 215
Chestnut Hill, MA 02467-1715

Mailing address

25 Boylston St
Suite 215
Chestnut Hill, MA 02467-1715
Phone (617) 232-1690

Other identifiers 3

IdentifierTypeStateIssuer
9763180MedicaidMA
M17942OtherMABCBS GROUP PROVIDER
601648OtherMATUFTS GROUP PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000073 MA Part B Supplier - Clinic/Group Practice 6103841614 Receives reassigned benefits from 3 practitioners
Practice locations: Chestnut Hill, MA

National Provider Directory

National Provider Directory

Locations

25 Boylston St
Ste 215
Chestnut Hill, MA 02467
Phone (617) 232-1690

Practitioners & affiliated clinicians

Practitioners 3

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1073642708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE 215",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-232-1690",
            "fax_number": "617-739-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE 215",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-232-1690",
            "fax_number": "617-739-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER OF MASSACHUSETTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-232-1690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "60529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763180",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER",
            "identifier": "M17942",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP PROVIDER",
            "identifier": "601648",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.