Organization Active NPI

Avalon Allergy and Asthma

  • Allergy Physician
  • Glen Cove, NY
National Provider Identifier
1801434709
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
AVALON ALLERGY AND ASTHMA
Practice address
25 Glen Cove Ave
Glen Cove, NY 11542-2805
Phone
(516) 656-5555
Fax
(516) 656-3555
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. Sharzad Jasmin Alagheband, MDNPI 1518371830
Title
MD/Solo Practitioner
Phone
(516) 656-5555

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

25 Glen Cove Ave
Glen Cove, NY 11542-2805

Mailing address

25 Glen Cove Ave
Glen Cove, NY 11542-2805
Phone (516) 656-5555

National Provider Directory

National Provider Directory

Locations

25 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 656-5555

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1801434709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422805",
            "telephone_number": "516-656-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GLEN COVE AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422805",
            "telephone_number": "516-656-5555",
            "fax_number": "516-656-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON ALLERGY AND ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "ALAGHEBAND",
        "authorized_official_first_name": "SHARZAD",
        "authorized_official_middle_name": "JASMIN",
        "authorized_official_title_or_position": "MD/SOLO PRACTITIONER",
        "authorized_official_telephone_number": "516-656-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.