Organization Active NPI

Allergy, Asthma & Sinus Associates, P.a.

  • Allergy Physician
  • Ft Lauderdale, FL
National Provider Identifier
1992001473
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME92264 Issued in FL
Legal business name
ALLERGY, ASTHMA & SINUS ASSOCIATES, P.A.
Practice address
2510 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1601
Phone
(954) 717-1919
Fax
(954) 717-2528
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Shahid Randhawa, M.D.NPI 1376532580
Title
MD
Phone
(954) 717-1919

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X ME92264 FL Primary

Addresses

Primary practice location

2510 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1601

Mailing address

2510 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1601
Phone (954) 717-1919

Other identifiers 2

IdentifierTypeStateIssuer
16010OtherFLBCBS
003737500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000515 FL Part B Supplier - Clinic/Group Practice 8820270531 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Oakland Park, FL

National Provider Directory

National Provider Directory

Locations

2510 E Oakland Park Blvd
Ft Lauderdale, FL 33306
Phone (954) 717-1919

5333 N Dixie Hwy
Ste 109
Oakland Park, FL 33334
Phone (954) 717-1919

Practitioners & affiliated clinicians

Practitioners 2

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": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1992001473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061601",
            "telephone_number": "954-717-1919",
            "fax_number": "954-717-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061601",
            "telephone_number": "954-717-1919",
            "fax_number": "954-717-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & SINUS ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-717-1919",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME92264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16010",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003737500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.