Organization Active NPI

Long Island Allergy & Asthma Care, PLLC

  • Allergy & Immunology Physician
  • Bethpage, NY
National Provider Identifier
1932245834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
175978 Issued in NY
Legal business name
LONG ISLAND ALLERGY & ASTHMA CARE, PLLC
Practice address
4250 Hempstead Tpke
Bethpage, NY 11714-5711
Phone
(516) 433-8530
Fax
(516) 692-4240
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shari Kilg, M.D.
Title
M.D.
Phone
(516) 433-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 175978 NY Primary

Addresses

Primary practice location

4250 Hempstead Tpke
Bethpage, NY 11714-5711

Mailing address

70 Colgate Dr
Plainview, NY 11803-1804
Phone (516) 433-8530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000044 NY Part B Supplier - Clinic/Group Practice 6901808583 Receives reassigned benefits from 1 practitioner
Practice locations: Bethpage, NY

National Provider Directory

National Provider Directory

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932245834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COLGATE DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031804",
            "telephone_number": "516-433-8530",
            "fax_number": "516-692-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-433-8530",
            "fax_number": "516-692-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ALLERGY & ASTHMA CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILG",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "516-433-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "175978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.