Organization Active NPI

Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
National Provider Identifier
1396944799
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALLIED PHYSICIANS GROUP, PLLC
Practice address
175 Broadhollow Rd
Suite 150
Melville, NY 11747-4909
Phone
(631) 386-4100
NPI assigned
Jul 16, 2007
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Kerry Frommer, MD
Title
Ceo
Phone
(516) 931-7337

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X NY
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

175 Broadhollow Rd
Suite 150
Melville, NY 11747-4909

Mailing address

175 Broadhollow Rd
Ste 150
Melville, NY 11747-4909
Phone (631) 386-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519000245 NY Part B Supplier - Clinic/Group Practice 0042433146 Receives reassigned benefits from 29 practitioners
Practice locations: Rockaway Park, NY; Monroe, NY; Riverhead, NY; Plainview, NY; Old Bethpage, NY; Oceanside, NY; Nyack, NY; North Babylon, NY…

National Provider Directory

National Provider Directory

Locations (25 of 28)

375 Deer Park Ave
Babylon, NY 11702

2611 Corporal Kennedy St
Bayside, NY 11360
Phone (718) 224-6000

1103 Cortelyou Rd
Brooklyn, NY 11218
Phone (718) 282-0170

300 Court St
Brooklyn, NY 11231
Phone (347) 763-0084

307 Court St
Brooklyn, NY 11231

154 Commack Rd
Ste 100
Commack, NY 11725
Phone (631) 499-8282

1101 Stewart Ave
Ste 306
Garden City, NY 11530
Phone (516) 222-0893

935 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 466-5437

380 N Broadway
Ste L2
Jericho, NY 11753
Phone (516) 931-1776

636 Wantagh Ave
Levittown, NY 11756
Phone (516) 520-7750

620 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

2799 Route 112
Ste 11
Medford, NY 11763
Phone (631) 732-5222

2799 Route 112
Ste 117
Medford, NY 11763

2799 Route 112
Ste 7
Medford, NY 11763

175 Broadhollow Rd
Ste 150
Melville, NY 11747
Phone (631) 386-4100

3 Huntington Quadrangle
Ste 105S
Melville, NY 11747
Phone (516) 870-0079

70 Gilbert St
Ste 103
Monroe, NY 10950
Phone (845) 782-8616

925 Deer Park Ave
North Babylon, NY 11703
Phone (631) 661-1200

18 Washington Ave
Nyack, NY 10960
Phone (845) 353-7360

3227 Long Beach Rd
Ste 1
Oceanside, NY 11572
Phone (516) 431-1600

700 Old Bethpage Rd
Old Bethpage, NY 11804
Phone (516) 293-0666

1171 Old Country Rd
Ste 2A
Plainview, NY 11803
Phone (516) 931-4343

1171 Old Country Rd
Ste 2B
Plainview, NY 11803

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

346 Route 25A
Ste 34
Rocky Point, NY 11778
Phone (631) 315-7747

Practitioners & affiliated clinicians

Practitioners 271

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.

View all 271

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1396944799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BROADHOLLOW RD",
            "address_2": "STE 150",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474909",
            "telephone_number": "631-386-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BROADHOLLOW RD",
            "address_2": "SUITE 150",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474909",
            "telephone_number": "631-386-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "FROMMER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-931-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.