NPIMap

Organization Active NPI

Boston Allergy Group, LLC

  • Allergy & Immunology Physician
  • Newton, MA
National Provider Identifier
1194346692
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
BOSTON ALLERGY GROUP, LLC
Practice address
50 Union St
Newton, MA 02459-2223
Phone
(617) 965-0000
NPI assigned
May 6, 2020
Last updated
May 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Ilona Dubuske, DONPI 1952783151
Title
Owner
Phone
(617) 965-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

50 Union St
Newton, MA 02459-2223

Mailing address

156 Prospect Hill Rd
Harvard, MA 01451-1302
Phone (617) 965-0000

National Provider Directory

National Provider Directory

Locations

50 Union St
Newton Center, MA 02459
Phone (617) 527-5528

Practitioners & affiliated clinicians

Practitioners 1

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": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1194346692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 PROSPECT HILL RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511302",
            "telephone_number": "617-965-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592223",
            "telephone_number": "617-965-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ALLERGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "DUBUSKE",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-965-0000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.