Organization Active NPI

For the Treatment of Allergies in New York, P.C.

  • Allergy Physician
  • New York, NY
National Provider Identifier
1871242941
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
FOR THE TREATMENT OF ALLERGIES IN NEW YORK, P.C.
Practice address
414 E 75TH St FL 3
New York, NY 10021-3442
Phone
(650) 466-6224
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Jung Park, PHD
Title
Practice Administrator
Phone
(650) 466-6177

Specialties & licenses 1

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

Addresses

Primary practice location

414 E 75TH St FL 3
New York, NY 10021-3442

Mailing address

570 Price Ave Ste 400
Redwood City, CA 94063-1452

National Provider Directory

National Provider Directory

Locations

32 Court St
Fl 12
Brooklyn, NY 11201

32 Court St
Ste 1200
Brooklyn, NY 11201
Phone (518) 232-8600

414 E 75th St
Fl 3
New York, NY 10021
Phone (650) 466-6224

800 Westchester Ave
Ste N611
Rye Brook, NY 10573

1025 Westchester Ave
Ste 402
White Plains, NY 10604

Practitioners & affiliated clinicians

Practitioners 3

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1871242941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 PRICE AVE STE 400",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 75TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213442",
            "telephone_number": "650-466-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR THE TREATMENT OF ALLERGIES IN NEW YORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNG",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "650-466-6177",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.