NPIMap

Organization Active NPI

Allergy, Asthma, & Immunology Schenectady

  • Allergy & Immunology (Internal Medicine) Physician
  • Schenectady, NY
National Provider Identifier
1124301734
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
235119 Issued in NY
Legal business name
ALLERGY, ASTHMA, & IMMUNOLOGY SCHENECTADY
Practice address
1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Phone
(518) 724-1060
Fax
(518) 724-1070
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITALCARE MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Kemp W Bundy, MD
Title
Site Medical Director
Phone
(518) 724-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X 235119 NY Primary

Addresses

Primary practice location

1201 Nott St
Suite 203
Schenectady, NY 12308-2589

Mailing address

1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Phone (518) 724-1060

National Provider Directory

National Provider Directory
Tax ID family
Larkin S Rusch7 organizations share this tax ID, including this one
Part of
Larkin S Rusch

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1124301734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-724-1060",
            "fax_number": "518-724-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-724-1060",
            "fax_number": "518-724-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA, & IMMUNOLOGY SCHENECTADY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITALCARE MEDICAL GROUP, LLC",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "KEMP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SITE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-724-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "235119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.