Organization Active NPI

Vallen Allergy and Asthma, PC

  • Allergy Physician
  • Quincy, MA
National Provider Identifier
1225784044
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
VALLEN ALLERGY AND ASTHMA, PC
Practice address
700 Congress St Ste 301
Quincy, MA 02169-0977
Phone
(617) 472-7111
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Jennifer Waterman
Title
Office Manager
Phone
(617) 404-1750

Specialties & licenses 1

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

Addresses

Primary practice location

700 Congress St Ste 301
Quincy, MA 02169-0977

Mailing address

700 Congress St Ste 301
Quincy, MA 02169-0977
Phone (617) 472-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813003304 MA Part B Supplier - Clinic/Group Practice 4486192127 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Locations

700 Congress St
Ste 301
Quincy, MA 02169
Phone (617) 472-7111

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1225784044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690977",
            "telephone_number": "617-472-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690977",
            "telephone_number": "617-472-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEN ALLERGY AND ASTHMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-404-1750"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.