Organization Active NPI

Allergy and Skin MD LLC

  • Allergy Physician
  • New York, NY
National Provider Identifier
1346950276
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY AND SKIN MD LLC
Practice address
1409 2ND Ave
New York, NY 10021-3770
Phone
(201) 567-0404
Fax
(201) 482-8856
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Sharon Yee, MDNPI 1336427814
Title
Owner
Phone
(201) 982-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1409 2ND Ave
New York, NY 10021-3770

Mailing address

158 Linwood PLZ Ste 319
Fort Lee, NJ 07024-3798
Phone (201) 567-0404

Other practice location 1

158 Linwood Plz
Fort Lee, NJ 07024-3798
Phone (201) 567-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511003202 NJ Part B Supplier - Clinic/Group Practice 7416313762 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

158 Linwood Plz
Ste 319
Fort Lee, NJ 07024
Phone (201) 567-0404

Practitioners & affiliated clinicians

Practitioners 2

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1346950276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ STE 319",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243798",
            "telephone_number": "201-567-0404",
            "fax_number": "201-482-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213770",
            "telephone_number": "201-567-0404",
            "fax_number": "201-482-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Linwood Plz",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070243798",
            "country_code": "US",
            "telephone_number": "201-567-0404",
            "fax_number": "201-482-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY AND SKIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-982-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.