NPIMap

Organization Active NPI

Allergy Center of Connecticut, PC

  • Allergy & Immunology Physician
  • Norwalk, CT
National Provider Identifier
1619115409
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
044867 Issued in CT
Legal business name
ALLERGY CENTER OF CONNECTICUT, PC
Practice address
761 Main Ave
Suite 105
Norwalk, CT 06851-1080
Phone
(203) 814-4335
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Philip Hemmers, D.O.NPI 1386700854
Title
Owner
Phone
(203) 814-4335

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 044867 CT Primary

Addresses

Primary practice location

761 Main Ave
Suite 105
Norwalk, CT 06851-1080

Mailing address

761 Main Ave
Suite 105
Norwalk, CT 06851-1080
Phone (203) 870-8731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091009000125 CT Part B Supplier - Clinic/Group Practice 6507902244 Receives reassigned benefits from 2 practitioners
Practice locations: Norwalk, CT; Shelton, CT

National Provider Directory

National Provider Directory
Tax ID family
Allergy Associates of Fairfield County PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

761 Main Ave
Ste 105
Norwalk, CT 06851
Phone (203) 374-6103

4 Corporate Dr
Ste 295
Shelton, CT 06484
Phone (203) 374-6103

Practitioners & affiliated clinicians

Practitioners 4

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": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1619115409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 105",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-870-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 105",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-814-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CENTER OF CONNECTICUT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "HEMMERS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-814-4335",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "044867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.