ADVANCED ALLERGY IMMUNOLOGY & ASTHMA PC
NPI 1780933937
Allergy & Immunology in Stanford, CT

Active since September 04, 2012CLIA 07D2057429 · Waiver
125 STRAWBERRY HILL AVE, STANFORD, CT 06902(203) 202-7799(203) 656-1416 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Allergy Immunology & Asthma Pc NPPES

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

ADVANCED ALLERGY IMMUNOLOGY & ASTHMA PC (NPI 1780933937) is a healthcare organization registered as an allergy & immunology in Stanford, Connecticut and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Denis A Bouboulis, Medical Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1780933937
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameADVANCED ALLERGY IMMUNOLOGY & ASTHMA PC
Location Address125 STRAWBERRY HILL AVEStanford, CT 06902
Mailing Address106 Noroton AveDarien, CT 06820-5237 · (203) 202-7799 · Fax (203) 656-1416
Fax(203) 656-1416
Organization SubpartNo
Authorized OfficialDenis A BouboulisMedical Doctor/owner · (203) 202-7799
Enumeration DateSeptember 4, 2012
Last NPPES UpdateJanuary 14, 2013
NPI 1780933937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CT · 029667
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.
125 STRAWBERRY HILL AVE, Stanford, CT 06902

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 07D2057429

Advanced Allergy & Immunology & Asthma, PC · Darien, CT
Active · expires Apr 16, 2027
CLIA Number07D2057429
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDenis A. Bouboulis MD
Laboratory Phone(203) 655-9904
Laboratory LocationAdvanced Allergy & Immunology & Asthma, PC106 Noroton Ave, Darien, CT 06820
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
125 STRAWBERRY HILL AVE, 201
STAMFORD, CT 06902
Physical Therapist
125 STRAWBERRY HILL AVE, SUITE 102
STAMFORD, CT 06902
Dentist
125 STRAWBERRY HILL AVE, UNIT 204
STAMFORD, CT 06902
Dentist (Orthodontics and Dentofacial Orthopedics)
125 STRAWBERRY HILL AVE, SUITE 202
STAMFORD, CT 06902
Ophthalmology
125 STRAWBERRY HILL AVE, SUITE 102
STAMFORD, CT 06902
Dentist (General Practice)
125 STRAWBERRY HILL AVE
STAMFORD, CT 06902

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 Advanced Allergy Immunology & Asthma PC's NPI number?

The NPI number for Advanced Allergy Immunology & Asthma PC is 1780933937. It was assigned to this organization in the NPPES registry on September 4, 2012.

Where is Advanced Allergy Immunology & Asthma PC located?

Advanced Allergy Immunology & Asthma PC is located at 125 Strawberry Hill Ave, Stanford, CT 06902. The listed phone number is (203) 202-7799.

What is Advanced Allergy Immunology & Asthma PC's specialty?

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

Does Advanced Allergy Immunology & Asthma PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2057429) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Allergy Immunology & Asthma PC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.