Allergy & Asthma Family Care of Queens, P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

231667 Issued in NY

Legal business name

ALLERGY & ASTHMA FAMILY CARE OF QUEENS, P.C.

Practice address

8814 198TH St
Hollis, NY 11423-2119

Phone

(718) 470-2345

Fax

(718) 679-9779

NPI assigned

Mar 7, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yudhistira Persaud, MDNPI 1124201322

Title

President

Phone

(917) 584-6770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Yudhistira Persaud, MD

  • Allergy Physician
  • Bronx, NY
  • NPI 1124201322
  Medicare reassignment Authorized official
• Shawn Kakkathottathil Mathew, DO

  • Allergy & Immunology Physician
  • Hollis, NY
  • NPI 1528521309
  NPD

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1679847768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 198TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232119",
            "telephone_number": "718-470-2345",
            "fax_number": "718-679-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 198TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232119",
            "telephone_number": "718-470-2345",
            "fax_number": "718-679-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA FAMILY CARE OF QUEENS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "YUDHISTIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-584-6770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "231667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02793084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ella Alishayev
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• Allergy and Skin Medical PLLC
• Bibi Y Alley, COTA
• Ariel Alvarez
• Amazing Care and Services, Inc.
• American Dental Care

• Allergy & Immunology Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.