Organization Active NPI

Roberson Allergy and Asthma, Inc.

  • Allergy & Immunology Physician
  • West Palm Beach, FL
National Provider Identifier
1073695730
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME9904 Issued in FL
Legal business name
ROBERSON ALLERGY AND ASTHMA, INC.
Practice address
1411 N Flagler Dr
Suite #6100
West Palm Beach, FL 33401-3404
Phone
(561) 655-4450
Fax
(561) 655-4469
NPI assigned
Oct 20, 2006
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Ms. Laura Carmody
Title
Practice Manager
Phone
(561) 655-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME9904 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr
Suite #6100
West Palm Beach, FL 33401-3404

Mailing address

1411 N Flagler Dr Ste 3000
West Palm Beach, FL 33401-3425
Phone (561) 655-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000651 FL Part B Supplier - Clinic/Group Practice 0840272415 Receives reassigned benefits from 3 practitioners
Practice locations: Jupiter, FL; Stuart, FL; Wellington, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 5203
Jupiter, FL 33458
Phone (561) 747-5057

900 SE Ocean Blvd
Ste D334
Stuart, FL 34994
Phone (772) 220-8884

10115 Forest Hill Blvd
Ste 403
Wellington, FL 33414
Phone (561) 792-5436

1117 N Olive Ave
Ste 202
West Palm Beach, FL 33401
Phone (561) 655-4450

1411 N Flagler Dr
Ste 3000
West Palm Beach, FL 33401
Phone (561) 655-4450

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGBGAD

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1073695730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 3000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013425",
            "telephone_number": "561-655-4450",
            "fax_number": "561-655-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "SUITE #6100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-655-4450",
            "fax_number": "561-655-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSON ALLERGY AND ASTHMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-655-4450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.