Organization Active NPI

Comprehensive Allergy & Asthma, PC

  • Allergy & Immunology Physician
  • Merrick, NY
National Provider Identifier
1407088255
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
220381 Issued in NY
Legal business name
COMPREHENSIVE ALLERGY & ASTHMA, PC
Practice address
2209 Merrick Rd Ste 202
Merrick, NY 11566-4770
Phone
(516) 771-4800
Fax
(516) 771-5950
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Stacey Radinsky, MD
Title
Physician / Owner
Phone
(516) 771-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 220381 NY Primary

Addresses

Primary practice location

2209 Merrick Rd Ste 202
Merrick, NY 11566-4770

Mailing address

2209 Merrick Rd Ste 202
Merrick, NY 11566-4770
Phone (516) 771-4800

National Provider Directory

National Provider Directory

Locations

31 Merrick Ave
Ste 30
Merrick, NY 11566
Phone (516) 308-6677

2209 Merrick Rd
Ste 202
Merrick, NY 11566
Phone (516) 414-1101

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1407088255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-771-4800",
            "fax_number": "516-771-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-771-4800",
            "fax_number": "516-771-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ALLERGY & ASTHMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "RADINSKY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "516-771-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "220381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.