Organization Active NPI

Cny Asthma & Allergy Consultants PC

  • Allergy & Immunology Physician
  • Auburn, NY
National Provider Identifier
1265502033
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
CNY ASTHMA & ALLERGY CONSULTANTS PC
Practice address
37 West Garden St
Suite 206
Auburn, NY 13021
Phone
(315) 252-9562
Fax
(315) 255-3872
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
John D Cosachov, DONPI 1932207370
Title
Physician President
Phone
(315) 252-9562

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: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

37 West Garden St
Suite 206
Auburn, NY 13021

Mailing address

37 West Garden St
Suite 206
Auburn, NY 13021
Phone (315) 252-9562

Other identifiers 3

IdentifierTypeStateIssuer
02225345MedicaidNY
46981OtherNYMVP
G0185031060OtherNYBLUE CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000595 NY Part B Supplier - Clinic/Group Practice 0547321416 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, NY; Watertown, NY

National Provider Directory

National Provider Directory

Locations

3 W GDN St Ste 206
Auburn, NY 13021

77 Nelson St
Ste 230
Auburn, NY 13021
Phone (315) 252-9562

833 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 668-5110

Practitioners & affiliated clinicians

Practitioners 6

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1265502033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WEST GARDEN ST",
            "address_2": "SUITE 206",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-252-9562",
            "fax_number": "315-255-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WEST GARDEN ST",
            "address_2": "SUITE 206",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-252-9562",
            "fax_number": "315-255-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY ASTHMA & ALLERGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "COSACHOV",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "315-252-9562",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02225345",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "46981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0185031060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.