Organization Active NPI

Allergy, Asthma & Sinus Center, P.a.

  • Allergy & Immunology Physician
  • Cary, NC
National Provider Identifier
1821277997
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35935 Issued in NC
Legal business name
ALLERGY, ASTHMA & SINUS CENTER, P.A.
Practice address
401 Keisler Dr
Cary, NC 27518-7084
Phone
(919) 859-5966
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Gurdev Singh Judge, M.D.NPI 1831113307
Title
President
Phone
(919) 859-5966

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35935 NC Primary

Addresses

Primary practice location

401 Keisler Dr
Cary, NC 27518-7084

Mailing address

401 Keisler Dr
Cary, NC 27518-7084
Phone (919) 859-5966

Other identifiers 2

IdentifierTypeStateIssuer
DA3587OtherNCRAIL ROAD MEDICARE
8947638MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000041 NC Part B Supplier - Clinic/Group Practice 4284538067 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC; Raleigh, NC; Wake Forest, NC

National Provider Directory

National Provider Directory

Locations

401 Keisler Dr
Ste 201
Cary, NC 27518
Phone (919) 589-5966

10931 Raven Ridge Rd
Ste 111
Raleigh, NC 27614
Phone (919) 859-5966

1906 S Main St
Ste 216
Wake Forest, NC 27587
Phone (919) 859-5966

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1821277997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-859-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-859-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & SINUS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-859-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "35935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA3587",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947638",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.