Active NPI
Dr. Chaudhry PLLC
- Allergy & Immunology Physician
- Boca Raton, FL
National Provider Identifier
1619458643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 123352
- Legal business name
- DR. CHAUDHRY PLLC
- Practice address
- 500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431 - Phone
- (561) 855-1999
- NPI assigned
- Aug 27, 2018
- 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. Rabia Quddus Chaudhry, MD
- Title
- Allergist & Immunologist
- Phone
- (561) 855-1999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 123352 | FL | Primary |
Addresses
Primary practice location
500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431
Mailing address
500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431-4517
Phone (561) 855-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019792000 | Medicaid | FL |
Other names 1
- South Florida Food Allergy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
500 NE Spanish River Blvd
Ste 28A
Boca Raton, FL 33431
Phone (561) 855-1999
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Boca Raton, FL
- NPI 1710281159
-
- Pediatric Allergy/Immunology Physician
- West Hartford, CT
- NPI 1457332298
Allergy & Immunology, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539820800000",
"number": "1619458643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE SPANISH RIVER BLVD STE 28A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314517",
"telephone_number": "561-855-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE SPANISH RIVER BLVD STE 28A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33431",
"telephone_number": "561-855-1999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. CHAUDHRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-27",
"last_updated": "2018-10-18",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "RABIA",
"authorized_official_middle_name": "QUDDUS",
"authorized_official_title_or_position": "ALLERGIST & IMMUNOLOGIST",
"authorized_official_telephone_number": "561-855-1999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "123352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019792000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Florida Food Allergy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.