Theodore Allen Physician, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

129095 Issued in NY

Legal business name

THEODORE ALLEN PHYSICIAN, PC

Practice address

92 E Old Country Rd
Hicksville, NY 11801-4217

Phone

(516) 681-2700

Fax

(516) 681-7115

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

Theodore Allen, MD

Title

President

Phone

(516) 681-2700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1083912216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014217",
            "telephone_number": "516-681-2700",
            "fax_number": "516-681-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014217",
            "telephone_number": "516-681-2700",
            "fax_number": "516-681-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE ALLEN PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-681-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00238188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hameer Hemant Thatte, DO
• The Coping Counselor- Balance Psychology Services P C
• The Mindful Place LLC
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #559)
• Chad Theall, LMSW
• Therapy Depot, Inc. (Little Peoples Promises)
• Thomas J Schumacher
• Jasmin Thomas, OTR/L
• Siji Thomas
• Benjamin D. Thompkins Jr., LMSW

• Internal Medicine Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.