Organization Active NPI

Unic Allergy and Asthma Center LLC

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1396424156
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
UNIC ALLERGY AND ASTHMA CENTER LLC
Practice address
12250 Rockville Pike Ste 290
Rockville, MD 20852-1600
Phone
(240) 669-8765
Fax
(301) 235-1601
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Nneoma Obiejemba, MDNPI 1346664653
Title
Partner
Phone
(301) 905-7762

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

12250 Rockville Pike Ste 290
Rockville, MD 20852-1600

Mailing address

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone (301) 905-7762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220002920 DC Part B Supplier - Clinic/Group Practice 3476997248 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1396424156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 COLESVILLE RD STE 1100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106346",
            "telephone_number": "301-905-7762",
            "fax_number": "301-235-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 ROCKVILLE PIKE STE 290",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521600",
            "telephone_number": "240-669-8765",
            "fax_number": "301-235-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIC ALLERGY AND ASTHMA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "OBIEJEMBA",
        "authorized_official_first_name": "NNEOMA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-905-7762",
        "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": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.