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

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

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

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: October 25, 2026.

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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

Phone(203) 202-7799

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Allergy Immunology & Asthma Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Allergy Immunology & Asthma PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher Gennino, D.O.

Family Practice

NPI 1649385758

300 SEASIDE AVE
Milford, CT 06460

(203) 876-4100

✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Advanced Allergy Immunology & Asthma PC enrolled in Medicare?

Yes. Advanced Allergy Immunology & Asthma PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Allergy Immunology & Asthma PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Advanced Allergy Immunology & Asthma PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Advanced Allergy Immunology & Asthma PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Allergy Immunology & Asthma PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.