Organization Active NPI

Dr. Chaudhry PLLC

  • Allergy & Immunology Physician
  • Boca Raton, FL
National Provider Identifier
1619458643
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
123352 Issued in FL
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

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Dr. Rabia Quddus Chaudhry, MDNPI 1710281159
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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
019792000MedicaidFL

Other names 1

  • South Florida Food Allergy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190517000435 FL Part B Supplier - Clinic/Group Practice 0648513499 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL; Loxahatchee, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.