Organization Active NPI

Manhattan Allergy, Immunology & Rheumatology, PLLC

  • Allergy & Immunology Physician
  • New York, NY
National Provider Identifier
1609259902
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
226767 Issued in NY
Legal business name
MANHATTAN ALLERGY, IMMUNOLOGY & RHEUMATOLOGY, PLLC
Practice address
47 E 77TH St
Ste 201
New York, NY 10075-1730
Phone
(646) 688-3443
Fax
(646) 688-4332
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Dr. Olga Belostotsky, M.D.NPI 1386772754
Title
Managing Director
Phone
(917) 573-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 226767 NY Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 226767 NY
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 226767 NY

Addresses

Primary practice location

47 E 77TH St
Ste 201
New York, NY 10075-1730

Mailing address

350 E 82ND St
Apt. 11C
New York, NY 10028-4909
Phone (212) 988-4334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150820011103 NY Part B Supplier - Clinic/Group Practice 6204141120 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1609259902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 82ND ST",
            "address_2": "APT. 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284909",
            "telephone_number": "212-988-4334",
            "fax_number": "212-988-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E 77TH ST",
            "address_2": "STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751730",
            "telephone_number": "646-688-3443",
            "fax_number": "646-688-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN ALLERGY, IMMUNOLOGY & RHEUMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "BELOSTOTSKY",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "917-573-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "226767",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226767",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "226767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.