Organization Active NPI

Allergy & Asthma Associates, P.C.

  • Allergy & Immunology Physician
  • Boston, MA
National Provider Identifier
1760468029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
53165 Issued in MA
Legal business name
ALLERGY & ASTHMA ASSOCIATES, P.C.
Practice address
8 Hawthorne PL
Suite 104
Boston, MA 02114-2335
Phone
(617) 742-5730
Fax
(617) 742-6917
NPI assigned
Dec 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Johnson Tai Wong, M.D.NPI 1659362820
Title
President
Phone
(617) 742-5730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 53165 MA Primary

Addresses

Primary practice location

8 Hawthorne PL
Suite 104
Boston, MA 02114-2335

Mailing address

8 Hawthorne PL
Suite 104
Boston, MA 02114-2335
Phone (617) 742-5730

Other identifiers 3

IdentifierTypeStateIssuer
714337OtherMATUFTS HEALTH PLAN
M15695OtherMABLUE CROSS BLUE SHIELD MA
9739939MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000348 MA Part B Supplier - Clinic/Group Practice 7618027996 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Wellesley, MA

National Provider Directory

National Provider Directory

Locations

8 Hawthorne Pl
Ste 104
Boston, MA 02114
Phone (617) 742-5730

1 Washington St
Ste 202
Wellesley, MA 02481
Phone (781) 239-3688

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760468029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HAWTHORNE PL",
            "address_2": "SUITE 104",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142335",
            "telephone_number": "617-742-5730",
            "fax_number": "617-742-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HAWTHORNE PL",
            "address_2": "SUITE 104",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142335",
            "telephone_number": "617-742-5730",
            "fax_number": "617-742-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-742-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "53165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "714337",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "M15695",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9739939",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.