NPIMap

Organization Active NPI

Asthma & Allergy Associates of FL PA

  • Allergy & Immunology Physician
  • Miami, FL
National Provider Identifier
1972687556
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0046002 Issued in FL
Legal business name
ASTHMA & ALLERGY ASSOCIATES OF FL PA
Practice address
7800 SW 87TH Ave
C-340
Miami, FL 33173-3570
Phone
(305) 595-0109
Fax
(305) 595-7092
NPI assigned
Oct 24, 2006
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Patricia Montes
Title
Credentialing Manager
Phone
(305) 595-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME0046002 FL Primary

Addresses

Primary practice location

7800 SW 87TH Ave
C-340
Miami, FL 33173-3570

Mailing address

7800 SW 87TH Ave
C-340
Miami, FL 33173-3570
Phone (305) 595-0109

Other identifiers 8

IdentifierTypeStateIssuer
043092702MedicaidFL
ME0039515OtherFLMEDICAL LICENSE DR. UBALS
253284100MedicaidFL
ME0071552OtherFLM L - DR. GERSHMAN
ME88114OtherFLMED. LIC. DR. MARK
049010500MedicaidFL
251869400MedicaidFL
ME0046002OtherFLMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040424000053 FL Part B Supplier - Clinic/Group Practice 1951397892 Receives reassigned benefits from 24 practitioners
Practice locations: Coral Gables, FL; Plantation, FL; Pembroke Pines, FL; Miami Lakes, FL; Miami Beach, FL; Miami, FL; Hollywood, FL; Ft Lauderdale, FL…

National Provider Directory

National Provider Directory

Locations

2925 Aventura Blvd
Ste 308
Aventura, FL 33180
Phone (305) 932-5662

1045 95th St
Ste 200
Bay Harbor Islands, FL 33154
Phone (305) 868-1700

9970 Central Park Blvd N
Ste 302
Boca Raton, FL 33428
Phone (561) 477-7500

9600 W Sample Rd
Ste 400
Coral Springs, FL 33065
Phone (954) 753-5770

600 NE 22nd Ter
Ste 202
Homestead, FL 33033
Phone (305) 595-0109

925 NE 30th Ter
Ste 306
Homestead, FL 33033
Phone (305) 595-0109

13550 SW 120th St
Ste 520
Miami, FL 33186
Phone (305) 256-1994

7800 SW 87th Ave
Ste 240
Miami, FL 33173
Phone (305) 595-0109

7800 SW 87th Ave
Ste 340
Miami, FL 33173
Phone (305) 596-1955

7411 Miami Lakes Dr
Miami Lakes, FL 33014
Phone (305) 823-1369

7413 Miami Lakes Dr
Miami Lakes, FL 33014
Phone (305) 821-4337

400 N Hiatus Rd
Ste 101
Pembroke Pines, FL 33026
Phone (954) 431-0540

600 N Hiatus Rd
Ste 102
Pembroke Pines, FL 33026
Phone (305) 595-0109

9681 W Broward Blvd
Plantation, FL 33324
Phone (954) 452-9800

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 15

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 15

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1972687556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-595-0109",
            "fax_number": "305-595-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-595-0109",
            "fax_number": "305-595-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA & ALLERGY ASSOCIATES OF FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "305-595-0109"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0046002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043092702",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE DR. UBALS",
            "identifier": "ME0039515",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253284100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M L - DR. GERSHMAN",
            "identifier": "ME0071552",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. LIC. DR. MARK",
            "identifier": "ME88114",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049010500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251869400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0046002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.