The Allergy & Asthma Wellness Practice LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

245245 Issued in NY

Legal business name

THE ALLERGY & ASTHMA WELLNESS PRACTICE LLC

Practice address

205 E 22ND St
New York, NY 10010-4632

Phone

(212) 228-2312

NPI assigned

Mar 7, 2013

Last updated

Aug 28, 2013By 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

Jennifer Collins, MDNPI 1942493440

Title

MD

Phone

(212) 228-2312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Jennifer S Collins, MD

  • Allergy & Immunology Physician
  • Ny, NY
  • NPI 1942493440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1871834457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 16TH ST APT 12G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033711",
            "telephone_number": "212-979-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104632",
            "telephone_number": "212-228-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALLERGY & ASTHMA WELLNESS PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-228-2312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "245245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.