Active NPI
Annette Fiorillo, DO P.C.
- Allergy & Immunology Physician
- Oceanside, NY
National Provider Identifier
1275964470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 243388
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03162392 | Medicaid | NY |
Other names 1
- LONG ISLAND ALLERGIES
National Provider Directory
National Provider DirectoryLocations
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.