Advanced Allergy & Asthma Family Care PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

249365 Issued in NY

Legal business name

ADVANCED ALLERGY & ASTHMA FAMILY CARE PLLC

Practice address

11 Ralph PL
Suite 305
Staten Island, NY 10304-4401

Phone

(718) 273-9111

Fax

(718) 448-2003

NPI assigned

Jul 29, 2011

Organization subpart

No

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

Authorized official

Name

Neha Madhok, MD

Title

Physician

Phone

(732) 261-9786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neha Madhok Bhambri, MD

  • Allergy & Immunology Physician
  • Staten Island, NY
  • NPI 1740511740

  Allergy & Immunology, NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1720366453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 205",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044405",
            "telephone_number": "718-273-9111",
            "fax_number": "718-448-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 305",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-9111",
            "fax_number": "718-448-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY & ASTHMA FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "MADHOK",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-261-9786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "249365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Staten Island, NY
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.