Active NPI
Asthma & Allergy of Maine, LLC, PA
- Allergy & Immunology Physician
- South Portland, ME
National Provider Identifier
1306017181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ASTHMA & ALLERGY OF MAINE, LLC, PA
- Practice address
- 51 Ocean St
South Portland, ME 04106-2828 - Phone
- (207) 626-4110
- Fax
- (207) 626-4109
- NPI assigned
- Mar 19, 2008
- 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. Matthew J Aresery, MD
- Title
- Owner
- Phone
- (207) 626-4110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
51 Ocean St
South Portland, ME 04106-2828
Mailing address
51 Ocean St
South Portland, ME 04106-2828
Phone (207) 626-4110
National Provider Directory
National Provider DirectoryLocations
51 Ocean St
South Portland, ME 04106
Phone (207) 699-4774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1306017181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 OCEAN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062828",
"telephone_number": "207-626-4110",
"fax_number": "207-626-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 OCEAN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062828",
"telephone_number": "207-626-4110",
"fax_number": "207-626-4109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTHMA & ALLERGY OF MAINE, LLC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "ARESERY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-626-4110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.