Organization Active NPI

Allergy and Asthma Specialists of Frederick LLC

Doing business as Allergy and Asthma Specialists of Frederick

  • Allergy & Immunology Physician
  • Frederick, MD
National Provider Identifier
1992358055
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY AND ASTHMA SPECIALISTS OF FREDERICK LLC
Doing business as
Allergy and Asthma Specialists of Frederick
Practice address
5300 Westview Dr Ste 102
Frederick, MD 21703-8372
Phone
(240) 831-4743
Fax
(240) 831-4539
NPI assigned
Jul 18, 2019
Last updated
Mar 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Authorized official

Name
Dr. Alpa L. Jani, MDNPI 1942299458
Title
Member and Employee
Phone
(301) 471-7120

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 & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

5300 Westview Dr Ste 102
Frederick, MD 21703-8372

Mailing address

1921 Moran Dr
Frederick, MD 21702-6444
Phone (301) 471-7120

Other names 1

  • Allergy and Asthma Specialists of Frederick Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL allergyasthmafrederick.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910001628 MD Part B Supplier - Clinic/Group Practice 9032448485 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

5300 Westview Dr
Ste 102
Frederick, MD 21703
Phone (240) 831-4743

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584144000000",
    "number": "1992358055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 MORAN DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026444",
            "telephone_number": "301-471-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WESTVIEW DR STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038372",
            "telephone_number": "240-831-4743",
            "fax_number": "240-831-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA SPECIALISTS OF FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "ALPA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER AND EMPLOYEE",
        "authorized_official_telephone_number": "301-471-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allergyasthmafrederick.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5300 Westview Dr Ste 102",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217038372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Specialists of Frederick",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allergy and Asthma Specialists of Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.