Organization Active NPI

Asthma & Allergy of Maine, LLC, PA

  • Allergy & Immunology Physician
  • South Portland, ME
National Provider Identifier
1306017181
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
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

Updated by the provider on Jul 7, 2008

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.