Advanced Allergy & Asthma Assessment & Diagnostic, P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

187008 Issued in NY

Legal business name

ADVANCED ALLERGY & ASTHMA ASSESSMENT & DIAGNOSTIC, P.C.

Practice address

202-28 45TH Avenue
Bayside, NY 11361-2540

Phone

(718) 224-7600

Fax

(718) 224-0593

NPI assigned

Nov 23, 2010

Organization subpart

No

Name

Charles A Shapiro, MD

Title

President

Phone

(718) 224-7600

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2010.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1376845453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202-28 45TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612540",
            "telephone_number": "718-224-7600",
            "fax_number": "718-224-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202-28 45TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612540",
            "telephone_number": "718-224-7600",
            "fax_number": "718-224-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY & ASTHMA ASSESSMENT & DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-224-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "187008",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "187008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.