Organization Active NPI

Island Allergy & Asthma PC

  • Allergy Physician
  • Jackson Heights, NY
National Provider Identifier
1285830406
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
188703 Issued in NY
Legal business name
ISLAND ALLERGY & ASTHMA PC
Practice address
3506 73Rd St
Cellar #2
Jackson Heights, NY 11372-4148
Phone
(718) 760-1100
Fax
(718) 732-2120
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Nanjundaiah S Kumar, M.D
Title
Owner
Phone
(718) 760-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 188703 NY Primary

Addresses

Primary practice location

3506 73Rd St
Cellar #2
Jackson Heights, NY 11372-4148

Mailing address

424 Jerome CT
Syosset, NY 11791-5401
Phone (718) 760-1100

National Provider Directory

National Provider Directory

Locations

2150A Starling Ave
Bronx, NY 10462
Phone (718) 505-2850

504 McDonald Ave
Brooklyn, NY 11218
Phone (718) 581-9955

3506 73rd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 505-2850

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1285830406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 JEROME CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915401",
            "telephone_number": "718-760-1100",
            "fax_number": "718-760-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 73RD ST",
            "address_2": "CELLAR #2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724148",
            "telephone_number": "718-760-1100",
            "fax_number": "718-732-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ALLERGY & ASTHMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "NANJUNDAIAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-760-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "188703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.