Manchester Allergy, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

7573 Issued in NH

Legal business name

MANCHESTER ALLERGY, INC.

Practice address

765 S Main St
Suite 203
Manchester, NH 03102-5141

Phone

(603) 668-6444

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John Nader Kalliel, M.D.

Title

President

Phone

(603) 668-6444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508841503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-668-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-668-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER ALLERGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALLIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-668-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NH",
            "license": "7573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010246",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Malotane, MS
• Mackenzie Ralph Maluchnick, M.S.
• Sabbay Paring Malvesti, PHARMD
• Zacharia Deng Makuach Mamur
• Manchester Alcoholism Rehabilitation Center
• Manchester Cboc
• Manchester Chiropractic & Sports Injuries, PLLC
• Manchester Community Health Center
• Manchester Community Music School
• Manchester Dental PLLC

• Specialist in Manchester, NH
• Providers in Manchester, NH by specialty
• Specialist in New Hampshire

• 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.

Verify at the official NPI Registry.