Allergy Medical Associates of North Shore Inc.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

36270 Issued in MA

Legal business name

ALLERGY MEDICAL ASSOCIATES OF NORTH SHORE INC.

Practice address

214 Ocean St
Lynn, MA 01902-3150

Phone

(781) 595-6800

Fax

(781) 599-7060

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Niranjan Dudani, M.D.

Title

Owner

Phone

(781) 595-6800

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1447456090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 OCEAN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023150",
            "telephone_number": "781-595-6800",
            "fax_number": "781-599-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 OCEAN ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023150",
            "telephone_number": "781-595-6800",
            "fax_number": "781-599-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY MEDICAL ASSOCIATES OF NORTH SHORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DUDANI",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-595-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "36270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783857",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4650694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "036270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "3090310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "646761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristin Allan
• Derin Deniz Allard, DO
• Caroline Aneita Alleyne
• Alliance Health of Lynn, Inc.
• Nicole Almeida
• Noha Abdel Kareem Almomani
• Isaira Justina Almonte

• Allergy Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Allergy Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.