Active NPI
Allergy Associates of New London, PC
- Allergy & Immunology (Internal Medicine) Physician
- New London, CT
National Provider Identifier
1235176595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- Legal business name
- ALLERGY ASSOCIATES OF NEW LONDON, PC
- Practice address
- 400 Bayonet St
Suite LL2
New London, CT 06320-2600 - Phone
- (860) 443-0769
- Fax
- (860) 443-1278
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George A. Sprecace, M.D. J.D.
- Title
- Physician/Owner
- Phone
- (860) 443-0769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | Primary |
Addresses
Primary practice location
400 Bayonet St
Suite LL2
New London, CT 06320-2600
Mailing address
196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50ALASCNLCT01 | Other | CT | ANTHEM BLUE CROSS/BLUE SHIELD |
Other names 1
- Allergy Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051206000722 | CT | Part B Supplier - Clinic/Group Practice | 7315967221 |
Receives reassigned benefits from 1 practitioner Practice locations: New London, CT |
National Provider Directory
National Provider DirectoryLocations
400 Bayonet St
Ste LL2
New London, CT 06320
Phone (860) 443-0769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1235176595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 PARKWAY S",
"address_2": "SUITE 304",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851234",
"telephone_number": "860-442-7027",
"fax_number": "860-444-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BAYONET ST",
"address_2": "SUITE LL2",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063202600",
"telephone_number": "860-443-0769",
"fax_number": "860-443-1278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY ASSOCIATES OF NEW LONDON, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "SPRECACE",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "860-443-0769",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. J.D."
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
"identifier": "50ALASCNLCT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.