NPIMap

Organization Active NPI

Superior Associates, P.C.

  • Allergy & Immunology Physician
  • Darien, CT
National Provider Identifier
1407255847
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
SUPERIOR ASSOCIATES, P.C.
Practice address
106 Noroton Ave
Infusion
Darien, CT 06820
Phone
(203) 309-5399
Fax
(203) 656-1416
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Dr. Denis Bouboulis, M.D.
Title
Medical Director
Phone
(203) 309-5399

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

106 Noroton Ave
Infusion
Darien, CT 06820

Mailing address

106 Noroton Ave
Infusion
Darien, CT 06820
Phone (203) 309-5399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1407255847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "address_2": "INFUSION",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-309-5399",
            "fax_number": "203-656-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "address_2": "INFUSION",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-309-5399",
            "fax_number": "203-656-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BOUBOULIS",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-309-5399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.