NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC
NPI 1700312774
Allergy & Immunology in Brooklyn, NY

Active since May 11, 2017CLIA Certified · 6 labs
2084 E 67TH ST, BROOKLYN, NY 11234(718) 444-8014(718) 444-8068 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2018, Mar 22, 2018, May 11, 2017 (3 updates tracked since 2017).

About New York Allergy Asthma & Immunology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC (NPI 1700312774) is a healthcare organization registered as an allergy & immunology in Brooklyn, New York and active in the NPI registry since May 2017. The organization holds 6 active CLIA laboratory certificates, maintains a secondary practice location in Port Jefferson, and lists Gad Avshalomov, President, as its authorized official.

NPPES Registry Identity

NPI1700312774
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameNEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC
Location Address2084 E 67TH STBrooklyn, NY 11234-6008
Mailing AddressPo Box 541Oceanside, NY 11572-0541 · (718) 444-8014 · Fax (718) 444-8068
Fax(718) 444-8068
Organization SubpartNo
Authorized OfficialGad AvshalomovPresident · (718) 444-8014
Enumeration DateMay 11, 2017
Last NPPES UpdateApril 30, 20183 updates tracked since enumeration
NPI 1700312774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedSpecialistTaxonomy 174400000X
2084 E 67TH ST, Brooklyn, NY 11234

Secondary Practice Location 1

Location 1120 N Country RdPort Jefferson, NY 11777-2604 · Phone (718) 444-8014 · Fax (718) 444-8068

Other Identifiers 1

Medicaid02217114NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2186136

New York Allergy Asthma & Immunology PC · Brooklyn, NY
Active · expires Jun 14, 2028
CLIA Number33D2186136
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorDr. Gad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC2084 East 67th St, Brooklyn, NY 11234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2269673

New York Allergy Asthma & Immunology PC · Port Jefferson, NY
Active · expires Sep 29, 2026
CLIA Number33D2269673
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorGad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC120 North Country Road, Port Jefferson, NY 11777
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2295667

New York Allergy Asthma & Immunology PC · Ronkonkoma, NY
Active · expires Dec 13, 2027
CLIA Number33D2295667
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorDr. Gad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC3279 Veterans Memorial Highway, Ronkonkoma, NY 11779
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2269668

New York Allergy Asthma & Immunology PC · Great Neck, NY
Active · expires Sep 29, 2026
CLIA Number33D2269668
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorGad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC560 Northern Blvd Suite104, Great Neck, NY 11021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2269672

New York Allergy Asthma & Immunology PC · New York, NY
Active · expires Sep 29, 2026
CLIA Number33D2269672
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorGad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC364 East 69th Street, New York, NY 10021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2269677

New York Allergy Asthma & Immunology PC · Woodbury, NY
Active · expires Sep 29, 2026
CLIA Number33D2269677
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorGad Avshalomov
Laboratory Phone(718) 444-8014
Laboratory LocationNew York Allergy Asthma & Immunology PC113 Crossways Park Drive, Woodbury, NY 11797
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
2084 E 67TH ST
BROOKLYN, NY 11234
Physician Assistant
2084 E 67TH ST
BROOKLYN, NY 11234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New York Allergy Asthma & Immunology PC's NPI number?

The NPI number for New York Allergy Asthma & Immunology PC is 1700312774. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is New York Allergy Asthma & Immunology PC located?

New York Allergy Asthma & Immunology PC is located at 2084 E 67th St, Brooklyn, NY 11234. The listed phone number is (718) 444-8014.

What is New York Allergy Asthma & Immunology PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does New York Allergy Asthma & Immunology PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for New York Allergy Asthma & Immunology PC was last updated on April 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.