Organization Active NPI

Mt.Lebanon Allergy Associates,Inc

  • Allergy & Immunology Physician
  • McMurray, PA
National Provider Identifier
1871921650
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD038976L Issued in PA
Legal business name
MT.LEBANON ALLERGY ASSOCIATES,INC
Practice address
4160 Washington Road
Suite 210
McMurray, PA 15317-2560
Phone
(724) 942-3106
Fax
(724) 260-0014
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Dr. Minaxi G Patel, MDNPI 1780671859
Title
President
Phone
(412) 680-3125

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 MD038976L PA Primary

Addresses

Primary practice location

4160 Washington Road
Suite 210
McMurray, PA 15317-2560

Mailing address

2040 English Turn Dr
Presto, PA 15142-1036
Phone (412) 680-3125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131217000792 PA Part B Supplier - Clinic/Group Practice 5496982571 Receives reassigned benefits from 1 practitioner
Practice locations: Clairton, PA; MC Murray, PA; Pittsburgh, PA; Uniontown, PA

National Provider Directory

National Provider Directory

Locations

1200 Brooks Ln
Ste 250
Jefferson Hills, PA 15025
Phone (412) 405-8475

4160 Washington Rd
Ste 210
McMurray, PA 15317
Phone (724) 942-3106

1050 Bower Hill Rd
Ste 310
Pittsburgh, PA 15243
Phone (412) 942-5750

211 Easy St
Ste 220
Uniontown, PA 15401
Phone (724) 438-1883

Practitioners & affiliated clinicians

Practitioners 1

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1871921650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ENGLISH TURN DR",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421036",
            "telephone_number": "412-680-3125",
            "fax_number": "412-291-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WASHINGTON ROAD",
            "address_2": "SUITE 210",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172560",
            "telephone_number": "724-942-3106",
            "fax_number": "724-260-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT.LEBANON ALLERGY ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MINAXI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-680-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD038976L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.