Active NPI
Allied Physicians Group, PLLC
- Pediatrics Physician
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
- 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
- Kerry Frommer, MD
- Title
- Ceo
- Phone
- (516) 931-7337
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | NY | ||
| Pediatrics Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02906783 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations (25 of 30)
375 Deer Park Ave
Babylon, NY 11702
2611 Corporal Kennedy St
Bayside, NY 11360
Phone (718) 224-6000
307 Court St
Brooklyn, NY 11231
300 Court St
Brooklyn, NY 11231
Phone (347) 763-0084
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
25710 Union Tpke
Ste 2
Glen Oaks, NY 11004
Phone (516) 209-4843
935 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 466-5437
124 Main St
Ste 1
Huntington, NY 11743
Phone (631) 423-0044
380 N Broadway
Ste L2
Jericho, NY 11753
Phone (516) 931-1776
636 Wantagh Ave
Levittown, NY 11756
Phone (516) 520-7750
2799 Route 112
Ste 7
Medford, NY 11763
2799 Route 112
Ste 11
Medford, NY 11763
Phone (631) 732-5222
2799 Route 112
Ste 117
Medford, NY 11763
175 Broadhollow Rd
Ste 150
Melville, NY 11747
Phone (616) 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
1575 Hillside Ave
Ste LL1
New Hyde Park, NY 11040
Phone (516) 498-2300
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
155 E Woodside Ave
Patchogue, NY 11772
Phone (631) 730-7600
1171 Old Country Rd
Ste 2B
Plainview, NY 11803
1171 Old Country Rd
Ste 2A
Plainview, NY 11803
Phone (516) 931-4343
Practitioners & affiliated clinicians
Practitioners 267
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rocky Point, NY
- NPI 1669823878
Family Medicine, NY
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02906783",
"state": "NY"
}
],
"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.