Organization Active NPI

Allergy Associates of New London, PC

  • Allergy & Immunology (Internal Medicine) Physician
  • New London, CT
National Provider Identifier
1235176595
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50ALASCNLCT01OtherCTANTHEM BLUE CROSS/BLUE SHIELD

Other names 1

  • Allergy Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.