Organization Active NPI

Andre J. Codispoti, M.D., P.C.

  • Allergy Physician
  • Suffern, NY
National Provider Identifier
1821138645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0999212 Issued in NY
Legal business name
ANDRE J. CODISPOTI, M.D., P.C.
Practice address
7 Hemion Rd
Suffern, NY 10901-4903
Phone
(845) 357-0741
Fax
(845) 357-0792
NPI assigned
Feb 8, 2007
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. Andre J. Codispoti, M.D.
Title
Owner
Phone
(845) 357-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 0999212 NY Primary

Addresses

Primary practice location

7 Hemion Rd
Suffern, NY 10901-4903

Mailing address

70 Gilbert St
Suite 205
Monroe, NY 10950-1538
Phone (845) 783-0999

National Provider Directory

National Provider Directory

Locations

70 Gilbert St
Ste 205
Monroe, NY 10950
Phone (845) 783-0999

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821138645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 205",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-783-0999",
            "fax_number": "845-783-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HEMION RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014903",
            "telephone_number": "845-357-0741",
            "fax_number": "845-357-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE J. CODISPOTI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CODISPOTI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-357-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "0999212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.