Active NPI
Allergy and Asthma Care Center
- Allergy Physician
- Staten Island, NY
National Provider Identifier
1477763258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 116820
- Legal business name
- ALLERGY AND ASTHMA CARE CENTER
- Practice address
- 896 Targee St
Staten Island, NY 10304-4517 - Phone
- (718) 816-8200
- Fax
- (718) 816-0892
- NPI assigned
- May 23, 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
- Dr. Yalamanchilli Rao, M.D.
- Title
- Owner
- Phone
- (718) 816-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 116820 | NY | Primary |
Addresses
Primary practice location
896 Targee St
Staten Island, NY 10304-4517
Mailing address
896 Targee St
Staten Island, NY 10304-4517
Phone (718) 816-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116820 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477763258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 TARGEE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044517",
"telephone_number": "718-816-8200",
"fax_number": "718-816-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "896 TARGEE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044517",
"telephone_number": "718-816-8200",
"fax_number": "718-816-0892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY AND ASTHMA CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "YALAMANCHILLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-816-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "116820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "116820",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.