Active NPI
Allergy and Asthma Care of Nassau and Suffolk, PLLC
- Allergy & Immunology Physician
- Lake Success, NY
National Provider Identifier
1326311820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 154324
- Legal business name
- ALLERGY AND ASTHMA CARE OF NASSAU AND SUFFOLK, PLLC
- Practice address
- 2001 Marcus Ave
Suite N220
Lake Success, NY 11042 - Phone
- (516) 482-0910
- Fax
- (516) 482-0943
- NPI assigned
- Feb 14, 2012
- 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
- Mitchell Barry Boxer, M.D.
- Title
- Owner
- Phone
- (516) 482-0910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 154324 | NY | Primary |
Addresses
Primary practice location
2001 Marcus Ave
Suite N220
Lake Success, NY 11042
Mailing address
2001 Marcus Ave
Suite N.220
Lake Success, NY 11042
Phone (516) 482-0910
Other names 1
- Mitchell Boxer, M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1326311820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE N.220",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-482-0910",
"fax_number": "516-482-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE N220",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-482-0910",
"fax_number": "516-482-0943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY AND ASTHMA CARE OF NASSAU AND SUFFOLK, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "BOXER",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "BARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-482-0910",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "154324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mitchell Boxer, M.D.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.