Organization Active NPI

Allergy & Asthma of the South Shore PC

  • Allergy & Immunology Physician
  • Woodmere, NY
National Provider Identifier
1235403163
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
242900 Issued in NY
Legal business name
ALLERGY & ASTHMA OF THE SOUTH SHORE PC
Practice address
949 Central Ave
Suite 201
Woodmere, NY 11598-1204
Phone
(516) 341-7076
Fax
(516) 341-7077
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Alissa Hersh, M.D.NPI 1033313366
Title
Physician
Phone
(516) 341-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 242900 NY Primary

Addresses

Primary practice location

949 Central Ave
Suite 201
Woodmere, NY 11598-1204

Mailing address

949 Central Ave
Suite 201
Woodmere, NY 11598-1204
Phone (516) 341-7076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000015 NY Part B Supplier - Clinic/Group Practice 3577722552 Receives reassigned benefits from 1 practitioner
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Locations

949 Central Ave
Ste 201
Woodmere, NY 11598
Phone (516) 295-1015

949 Central Ave
Ste 207
Woodmere, NY 11598
Phone (516) 218-2510

Practitioners & affiliated clinicians

Practitioners 2

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1235403163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981204",
            "telephone_number": "516-341-7076",
            "fax_number": "516-341-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981204",
            "telephone_number": "516-341-7076",
            "fax_number": "516-341-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA OF THE SOUTH SHORE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "HERSH",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-341-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "242900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.