Northeast Allergy - Pcpo LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

NORTHEAST ALLERGY - PCPO LLC

Practice address

79 Erdman Way Ste 101
Leominster, MA 01453-1805

Phone

(978) 537-4805

Fax

(987) 537-2185

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Jordan E. Scott, MD

Title

President/Physician

Phone

(978) 537-4805

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1356950422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "978-537-4805",
            "fax_number": "987-537-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "978-537-4805",
            "fax_number": "987-537-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALLERGY - PCPO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "978-537-4805",
        "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": []
}

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• Kelly Ann Noska, ANP-BC
• Gerald Nowosacki, LICSW

• Allergy & Immunology Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Allergy & Immunology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.