Organization Active NPI

Allergy Asthma Rheumatology Assoc

  • Allergy & Immunology Physician
  • Syracuse, NY
National Provider Identifier
1366407140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY ASTHMA RHEUMATOLOGY ASSOC
Practice address
5793 Widewaters Pkwy Ste 250
Syracuse, NY 13214-1887
Phone
(315) 478-2339
Fax
(315) 478-0439
NPI assigned
Apr 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael SheehanNPI 1194717108
Title
Partner
Phone
(315) 478-2339

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 & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

5793 Widewaters Pkwy Ste 250
Syracuse, NY 13214-1887

Mailing address

5793 Widewaters Pkwy Ste 250
Syracuse, NY 13214-1887
Phone (315) 478-2339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000658 NY Part B Supplier - Clinic/Group Practice 9436324241 Receives reassigned benefits from 2 practitioners
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

5793 Widewaters Pkwy
Ste 250
Syracuse, NY 13214
Phone (315) 478-2339

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366407140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 WIDEWATERS PKWY STE 250",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141887",
            "telephone_number": "315-478-2339",
            "fax_number": "315-478-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 WIDEWATERS PKWY STE 250",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141887",
            "telephone_number": "315-478-2339",
            "fax_number": "315-478-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA RHEUMATOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-478-2339"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.