Organization Active NPI

Allergy & Asthma Specialists of Northern Vermont PC

  • Allergy & Immunology Physician
  • Essex JCT, VT
National Provider Identifier
1992964050
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0420009526 Issued in VT
Legal business name
ALLERGY & ASTHMA SPECIALISTS OF NORTHERN VERMONT PC
Practice address
55 Main St
Ste 2
Essex JCT, VT 05452-6100
Phone
(802) 879-1310
Fax
(802) 879-1330
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
William H Newman, M.D.
Title
Practice Owner
Phone
(802) 524-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 0420009526 VT Primary

Addresses

Primary practice location

55 Main St
Ste 2
Essex JCT, VT 05452-6100

Mailing address

55 Main St
Ste 2
Essex JCT, VT 05452-6100
Phone (802) 879-1310

Other identifiers 1

IdentifierTypeStateIssuer
0VN1613MedicaidVT

National Provider Directory

National Provider Directory

Locations

654 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 229-1626

260 Crest Rd
Ste 203
Saint Albans, VT 05478
Phone (802) 524-2550

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1992964050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "STE 2",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-879-1310",
            "fax_number": "802-879-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "STE 2",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-879-1310",
            "fax_number": "802-879-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA SPECIALISTS OF NORTHERN VERMONT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "802-524-2550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "VT",
            "license": "0420009526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1613",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.