Organization Active NPI

Annette Fiorillo, DO P.C.

  • Allergy & Immunology Physician
  • Oceanside, NY
National Provider Identifier
1275964470
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
243388 Issued in NY
Legal business name
ANNETTE FIORILLO, DO P.C.
Practice address
2940 Lincoln Ave
#200
Oceanside, NY 11572-2195
Phone
(516) 307-9140
Fax
(516) 706-6770
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Annette Louise Fiorillo, DO, PC
Title
Provider
Phone
(516) 307-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 243388 NY Primary

Addresses

Primary practice location

2940 Lincoln Ave
#200
Oceanside, NY 11572-2195

Mailing address

2940 Lincoln Ave
#200
Oceanside, NY 11572
Phone (516) 307-9140

Other identifiers 1

IdentifierTypeStateIssuer
03162392MedicaidNY

Other names 1

  • LONG ISLAND ALLERGIES Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Atlantic Ave
Ste 2
Baldwin, NY 11510
Phone (516) 517-2338

2940 Lincoln Ave
Ste 200
Oceanside, NY 11572
Phone (516) 208-7266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1275964470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 LINCOLN AVE",
            "address_2": "#200",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-307-9140",
            "fax_number": "516-706-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 LINCOLN AVE",
            "address_2": "#200",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722195",
            "telephone_number": "516-307-9140",
            "fax_number": "516-706-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE FIORILLO, DO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "FIORILLO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "516-307-9140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, PC"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "243388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG ISLAND ALLERGIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.