Organization Active NPI

Allergy & Asthma Medical Care PLLC

  • Allergy Physician
  • Staten Island, NY
National Provider Identifier
1134497951
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
116820 Issued in NY
Legal business name
ALLERGY & ASTHMA MEDICAL CARE PLLC
Practice address
896 Targee St
Staten Island, NY 10304-4517
Phone
(718) 816-8200
Fax
(718) 816-0892
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Yalamanchili Rao, MD
Title
Proprietor
Phone
(718) 816-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 116820 NY Primary

Addresses

Primary practice location

896 Targee St
Staten Island, NY 10304-4517

Mailing address

896 Targee St
Staten Island, NY 10304-4517
Phone (718) 816-8200

National Provider Directory

National Provider Directory

Locations

186 Joralemon St
Ste 902
Brooklyn, NY 11201
Phone (718) 816-8200

896 Targee St
Staten Island, NY 10304
Phone (718) 226-8263

Practitioners & affiliated clinicians

Practitioners 1

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1134497951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044517",
            "telephone_number": "718-816-8200",
            "fax_number": "718-816-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044517",
            "telephone_number": "718-816-8200",
            "fax_number": "718-816-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "YALAMANCHILI",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "718-816-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "116820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

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