Active NPI
Breathe Easy Allergy
- Allergy & Immunology Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- BREATHE EASY ALLERGY
- Practice address
- 1111 Medical Center Blvd
Suite N 804
Marrero, LA 70072-3151 - Phone
- (504) 934-8777
- Fax
- (504) 934-8778
- NPI assigned
- Mar 13, 2014
- 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
- Dr. Sonia Kamboj, MD
- Title
- Authorized Official
- Phone
- (504) 934-8777
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1111 Medical Center Blvd
Suite N 804
Marrero, LA 70072-3151
Mailing address
1111 Medical Center Blvd
Suite N 804
Marrero, LA 70072-3151
Phone (504) 934-8777
Other names 1
- Breathe Easy Allergy and Asthma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140627000551 | LA | Part B Supplier - Clinic/Group Practice | 8628293057 |
Receives reassigned benefits from 1 practitioner Practice locations: Marrero, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2075136 | Breathe Easy Allergy& Asthma | Certificate of waiver | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
1111 Medical Center Blvd
Ste N804
Marrero, LA 70072
Phone (504) 349-6845
Interoperability endpoints
- https://api.platform.athenahealth.com/14768/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Marrero, LA
- NPI 1972706661
Allergy & Immunology, LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404345600000",
"number": "1386060432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE N 804",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-934-8777",
"fax_number": "504-934-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE N 804",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-934-8777",
"fax_number": "504-934-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHE EASY ALLERGY",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-13",
"last_updated": "2014-07-03",
"status": "A",
"authorized_official_last_name": "KAMBOJ",
"authorized_official_first_name": "SONIA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "504-934-8777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Breathe Easy Allergy and Asthma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.