Organization Active NPI

Andre J. Codispoti, M.D., P.C.

  • Allergy Physician
  • Monroe, NY
National Provider Identifier
1659411783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0999212 Issued in NY
Legal business name
ANDRE J. CODISPOTI, M.D., P.C.
Practice address
70 Gilbert St
Suite 205
Monroe, NY 10950-1538
Phone
(845) 783-0999
Fax
(845) 783-4133
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andre J. Codispoti, M.D.NPI 1588679344
Title
Owner
Phone
(845) 783-0999

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 Physician 207KA0200X 0999212 NY Primary

Addresses

Primary practice location

70 Gilbert St
Suite 205
Monroe, NY 10950-1538

Mailing address

70 Gilbert St
Suite 205
Monroe, NY 10950-1538
Phone (845) 783-0999

National Provider Directory

National Provider Directory

Locations

70 Gilbert St
Ste 205
Monroe, NY 10950
Phone (845) 783-0999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659411783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 205",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-783-0999",
            "fax_number": "845-783-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 205",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-783-0999",
            "fax_number": "845-783-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE J. CODISPOTI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CODISPOTI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-783-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "0999212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • 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.