Shoreline Allergy & Asthma Associates LLP

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

SHORELINE ALLERGY & ASTHMA ASSOCIATES LLP

Practice address

196 Waterford Pkwy S Ste 305B
Waterford, CT 06385-1245

Phone

(860) 536-2995

Fax

(860) 574-9170

NPI assigned

Dec 18, 2006

Last updated

Jan 24, 2022By 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

Doron Ber, M.D.NPI 1316924749

Title

Partner

Phone

(860) 536-2995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71115

Practitioners 9

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.

• Mahesh Anil Netravali, M.D.

  • Allergy & Immunology Physician
  • Waterford, CT
  • NPI 1942424551
  Medicare reassignment Care Compare group NPD
• Daniel Leroy Waggoner, M.D.

  • Allergy & Immunology Physician
  • Waterford, CT
  • NPI 1558406066
  Medicare reassignment Care Compare group NPD
• Elena Zidan, MD

  • Allergy Physician
  • Waterford, CT
  • NPI 1982233839
  Medicare reassignment Care Compare group NPD
• Doron J Ber, M.D.

  • Allergy Physician
  • Waterford, CT
  • NPI 1316924749
  Authorized official Same address or phone
• David Schwindt

  • Adolescent Medicine (Internal Medicine) Physician
  • Mystic, CT
  • NPI 1366489536
  NPD
• Bruce A. Berlow, M.D.

  • Specialist
  • Mystic, CT
  • NPI 1720065154
  NPD (past)
• Stephen Charles Kissel, D.C.

  • Chiropractor
  • East Lyme, CT
  • NPI 1669571527
  NPD (past)
• Meera Khedkar, M.D.

  • Specialist
  • Berkeley Heights, NJ
  • NPI 1306973870

  Allergy

  NPD (past)
• George William Palmer, MD

  • Allergy & Immunology Physician
  • Boise, ID
  • NPI 1033105259
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1881757243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 305B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851245",
            "telephone_number": "860-536-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 305B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851245",
            "telephone_number": "860-536-2995",
            "fax_number": "860-574-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ALLERGY & ASTHMA ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "BER",
        "authorized_official_first_name": "DORON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-536-2995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Schroeder, PA
• Courtney Seely, LCSW
• Thomas Sena, MD
• Sheridan Healthcare of Connecticut PC
• Cyndia Shook, LCSW
• Shoreline Audiology, LLC (County Hearing and Balance)
• Shoreline Eye Group PC (Shoreline Eye Group)
• Shoreline Family Practice LLP
• Corie Sigan, DPT
• Tina Marie Silver, LCSW

• Allergy Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Allergy Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.