Advanced Asthma and Allergy of Nny, PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

237708 Issued in NY

Legal business name

ADVANCED ASTHMA AND ALLERGY OF NNY, PLLC

Practice address

19316 US Route 11
Building IV, Suite C
Watertown, NY 13601-5337

Phone

(315) 681-4192

NPI assigned

Jun 1, 2010

Last updated

May 4, 2015By 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

Dariusz Chrostowski, M.D.NPI 1922100247

Title

Owner/Director

Phone

(315) 681-4192

Specialties & licenses 1

Addresses

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 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.

• Dariusz Chrostowski, M.D.

  • Allergy Physician
  • Watertown, NY
  • NPI 1922100247
  Medicare reassignment Care Compare group NPD Authorized official
• Carrie Emma Hostetler, FNP

  • Family Nurse Practitioner
  • Lowville, NY
  • NPI 1528588639
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1760701783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11",
            "address_2": "BUILDING IV, SUITE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337",
            "telephone_number": "315-681-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11",
            "address_2": "BUILDING IV, SUITE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337",
            "telephone_number": "315-681-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ASTHMA AND ALLERGY OF NNY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CHROSTOWSKI",
        "authorized_official_first_name": "DARIUSZ",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "315-681-4192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "237708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy N. Adams, LHSW
• Kelly Lynn Adams, LPN
• Maryjo Adams, MD
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• Amanda Lynn Agley, PA-C
• Ahlgrim and Ward Dental Associates
• Stephen Arthur Ahlgrim, DMD
• Rafeeque Ahmad, MD

• Allergy & Immunology Physician in Watertown, NY
• Providers in Watertown, 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 May 4, 2015; 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.