Allergy Associates of Dearborn

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

JB047245 Issued in MI

Legal business name

ALLERGY ASSOCIATES OF DEARBORN

Practice address

751 S Military St
Dearborn, MI 48124-2107

Phone

(313) 274-3311

Fax

(313) 274-3587

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 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

Mrs. Janice BernickNPI 1114306958

Title

Office Manager

Phone

(313) 274-3311

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9729/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Janice Bernick, FNP-BC PH.D.

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1114306958
  Authorized official Same address or phone

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1730378738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S MILITARY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242107",
            "telephone_number": "313-274-3311",
            "fax_number": "313-274-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S MILITARY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242107",
            "telephone_number": "313-274-3311",
            "fax_number": "313-274-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES OF DEARBORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BERNICK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-274-3311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "JB047245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030001206",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0822360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA",
            "identifier": "02507830130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Allen, BCBA
• Andrea Allen, CCC-SLP
• Keisha Lorene Allen
• Todd Allen, MD
• Allergy & Immunology Associates of Dearborn PC (Allergy Associates of Dearborn)
• Alliance Physician Services of Michigan, P.C. (Michigan Institute of Urology)
• Alliance Psychology Group
• Allied Medical Home Care Corporation
• Hanadi Abdulaziz Almadani
• Ala Almadhagi

• Allergy & Immunology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.