Allergy Specialists of Palm Beaches

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME76026 Issued in FL

Legal business name

ALLERGY SPECIALISTS OF PALM BEACHES

Practice address

1801 SE Hillmoor Dr
C107
Port St Lucie, FL 34952-7553

Phone

(772) 335-7888

Fax

(772) 335-0331

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tanuja Tirunagari Vedere, MDNPI 1346237104

Title

Physician Owner

Phone

(772) 335-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanuja Tirunagari Vedere, M.D

  • Allergy & Immunology Physician
  • Port St Lucie, FL
  • NPI 1346237104

  Allergy & Immunology, FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1962774018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30425",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334200425",
            "telephone_number": "772-335-7888",
            "fax_number": "772-335-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "C107",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-335-7888",
            "fax_number": "772-335-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY SPECIALISTS OF PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "VEDERE",
        "authorized_official_first_name": "TANUJA",
        "authorized_official_middle_name": "TIRUNAGARI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "772-335-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME76026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255468203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Birnbaum DO PA
• April Allen, LMT
• Novelette Allen
• Sabrina Allen
• Stacie E Allen, ARNP PMHNP-BC
• Marvalee Allison, APRN
• Raciel Alonso Garcia, APRN
• Alpha Industries LLC
• Mina Alqassab
• Altercare of Palm Beach County LLC

• All providers in Port St Lucie, FL
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.