Allergy and Asthma Care of Fairfield County, LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

038854 Issued in CT

Legal business name

ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC

Practice address

55 Walls Dr
Ste 405
Fairfield, CT 06824-5163

Phone

(203) 259-7070

Fax

(203) 254-7402

NPI assigned

Aug 31, 2006

Last updated

Sep 6, 2007By 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

Kenneth S. Backman, M.D.NPI 1174595847

Title

President

Phone

(203) 259-7070

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

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.

• Kenneth Scott Backman, M.D.

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1174595847
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Alexis Bloom, M.D.

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1760697635
  Medicare reassignment Care Compare group NPD
• Sara Ines Dever, MD

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1992990535
  Medicare reassignment Care Compare group NPD
• Jillian Kathleen Ross, A.P.R.N.

  • Family Nurse Practitioner
  • Fairfield, CT
  • NPI 1427337666
  Medicare reassignment Care Compare group NPD
• Paula Andrea Garay, DHSC., CD

  • Doula
  • Bridgeport, CT
  • NPI 1013804137
  NPD
• Nikki Marie Carino, APRN

  • Family Nurse Practitioner
  • Bridgeport, CT
  • NPI 1548813090
  NPD (past)
• Ann S. Mesinger, A.P.R.N

  • Family Nurse Practitioner
  • Monroe, CT
  • NPI 1396757902
  NPD (past)
• Steven Joseph Simonte, M.D.

  • Pediatric Allergy/Immunology Physician
  • Orlando, FL
  • NPI 1487657615

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1710098645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "SUITE 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "STE 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CARE OF FAIRFIELD COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BACKMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-259-7070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "038854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1439465",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V8243",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P861731",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010038854CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "038854",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7914842006",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie G Alexander, MSED, ATC, CSCS
• Alfonse Campo, MD,LLC
• Alfred Sofer, MD, LLC
• Align Sports Therapy
• Debra M Allen, LCSW
• Allergy and Asthma Consultants of Fairfield County, LLC
• Allure Dental Group Corp
• Nicholas Almonte
• Alta Heath Practice LLC
• Eric Louis Alter

• Allergy & Immunology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.