Active NPI
East End Allergy and Asthma Care, PC
- Allergy & Immunology Physician
- Riverhead, NY
National Provider Identifier
1669424065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 211349
- Legal business name
- EAST END ALLERGY AND ASTHMA CARE, PC
- Practice address
- 1149 Old Country Road
Suite E-1
Riverhead, NY 11901-2063 - Phone
- (631) 591-2209
- Fax
- (631) 591-2194
- NPI assigned
- May 16, 2006
- 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
- John F Byrne, M.D.
- Title
- President
- Phone
- (631) 591-2209
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 | 211349 | NY | Primary |
Addresses
Primary practice location
1149 Old Country Road
Suite E-1
Riverhead, NY 11901-2063
Mailing address
1149 Old Country Road
Suite E-1
Riverhead, NY 11901-2063
Phone (631) 591-2209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 Osborn Ave
Lowr
Riverhead, NY 11901
Phone (631) 591-2209
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Riverhead, NY
- NPI 1144227208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1669424065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 OLD COUNTRY ROAD",
"address_2": "SUITE E-1",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012063",
"telephone_number": "631-591-2209",
"fax_number": "631-591-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 OLD COUNTRY ROAD",
"address_2": "SUITE E-1",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012063",
"telephone_number": "631-591-2209",
"fax_number": "631-591-2194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST END ALLERGY AND ASTHMA CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-591-2209",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "211349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.