Organization Active NPI

Burton Allyn M.D.,P.C.

  • Dermatology Physician
  • New Windsor, NY
National Provider Identifier
1386732964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
081303 Issued in NY
Legal business name
BURTON ALLYN M.D.,P.C.
Practice address
833 Blooming Grove Tpke
New Windsor, NY 12553-8102
Phone
(845) 561-1100
Fax
(845) 561-0414
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Burton Allyn, M.D.
Title
Owner - President
Phone
(845) 561-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 081303 NY Primary

Addresses

Primary practice location

833 Blooming Grove Tpke
New Windsor, NY 12553-8102

Mailing address

833 Blooming Grove Tpke
New Windsor, NY 12553-8102
Phone (845) 561-1100

Other names 1

  • Burton Allyn M.D. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386732964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BLOOMING GROVE TPKE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538102",
            "telephone_number": "845-561-1100",
            "fax_number": "845-561-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BLOOMING GROVE TPKE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538102",
            "telephone_number": "845-561-1100",
            "fax_number": "845-561-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON ALLYN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLYN",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "845-561-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "081303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burton Allyn M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.