New York Allergy Asthma & Immunology PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC

Practice address

2084 E 67TH St
Brooklyn, NY 11234-6008

Phone

(718) 444-8014

Fax

(718) 444-8068

NPI assigned

May 11, 2017

Last updated

Apr 30, 2018By 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

Dr. Gad Avshalomov, M.D.NPI 1609851617

Title

President

Phone

(718) 444-8014

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

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.

• Gad Avshalomov, MD

  • Allergy & Immunology Physician
  • Brooklyn, NY
  • NPI 1609851617
  Medicare reassignment Care Compare group Authorized official
• Camilla Victoria Adlawan, NP

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1689403172
  Medicare reassignment Care Compare group NPD
• Frank Joseph Commisso, PA

  • Physician Assistant
  • New Hyde Park, NY
  • NPI 1295207314
  Medicare reassignment Care Compare group
• Kenneth S Etra, M.D.

  • Otolaryngology Physician
  • Great Neck, NY
  • NPI 1225012313
  Medicare reassignment Care Compare group
• Richard G Etra, M.D.

  • Otolaryngology Physician
  • Great Neck, NY
  • NPI 1679558118
  Medicare reassignment Care Compare group
• Ronald A Levy, MD

  • Otolaryngology Physician
  • Great Neck, NY
  • NPI 1760498042
  Medicare reassignment Care Compare group
• Nina Smith, FNP-C

  • Family Nurse Practitioner
  • Syosset, NY
  • NPI 1174174494
  Medicare reassignment Care Compare group
• Deanna Amber Spence, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Port Jefferson, NY
  • NPI 1659858744
  Medicare reassignment Care Compare group
• Katherine Hsiung Vygon

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1639623234
  Medicare reassignment Care Compare group
• Jennifer Aileen Wilton, RPAC

  • Physician Assistant
  • Staten Island, NY
  • NPI 1790066868
  Medicare reassignment Care Compare group
• Ramandeep Kaur

  • Physician Assistant
  • Shenandoah, TX
  • NPI 1689268435

  NY

  Medicare reassignment Care Compare group
• Michael Sam Cohen, MD

  • Facial Plastic Surgery Physician
  • Syosset, NY
  • NPI 1467435081
  Medicare reassignment

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1700312774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115720541",
            "telephone_number": "718-444-8014",
            "fax_number": "718-444-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 E 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346008",
            "telephone_number": "718-444-8014",
            "fax_number": "718-444-8068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772604",
            "country_code": "US",
            "telephone_number": "718-444-8014",
            "fax_number": "718-444-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "AVSHALOMOV",
        "authorized_official_first_name": "GAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-444-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02217114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Brooklyn, NY
• Providers in Brooklyn, 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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.