Organization Active NPI

Advanced Allergy and Asthma Family Care,LLC

  • Allergy & Immunology Physician
  • Waterbury, CT
National Provider Identifier
1215968946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
032579 Issued in CT
Legal business name
ADVANCED ALLERGY AND ASTHMA FAMILY CARE,LLC
Practice address
714 Chase Pkwy
Suite 2B
Waterbury, CT 06708-3012
Phone
(203) 755-5500
Fax
(203) 755-0776
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Scheer, M.D.
Title
Manager
Phone
(203) 755-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 032579 CT Primary

Addresses

Primary practice location

714 Chase Pkwy
Suite 2B
Waterbury, CT 06708-3012

Mailing address

714 Chase Pkwy
Suite 2B
Waterbury, CT 06708-3012
Phone (203) 755-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060926000455 CT Part B Supplier - Clinic/Group Practice 2264437276 Receives reassigned benefits from 1 practitioner
Practice locations: Bristol, CT; Waterbury, CT

National Provider Directory

National Provider Directory

Locations

160 Farmington Ave
Ste 2
Bristol, CT 06010
Phone (860) 589-4313

714 Chase Pkwy
Ste 2B
Waterbury, CT 06708
Phone (203) 755-5500

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215968946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CHASE PKWY",
            "address_2": "SUITE 2B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083012",
            "telephone_number": "203-755-5500",
            "fax_number": "203-755-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CHASE PKWY",
            "address_2": "SUITE 2B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083012",
            "telephone_number": "203-755-5500",
            "fax_number": "203-755-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY AND ASTHMA FAMILY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHEER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-755-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "032579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.