CONNECTICUT ALLERGY & ASTHMA ASSOC PC (NPI# 1518134428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518134428 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT ALLERGY & ASTHMA ASSOC PC |
| Practice Address |
4641 Main St Bridgeport CT 06606 |
| Practice Telephone | 2033716060 |
| Practice Fax Number | 2033711977 |
| Mailing Telephone | 2033716060 |
| Mailing Fax Number | 2033711977 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | DR. PAUL B GOLDBERG (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 2033716060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 020804 | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1208040 | 05 |
| Street Address |
4641 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971619 | Paul B Goldberg | Allergy & Immunology | 4641 Main St, Bridgeport, CT 06606-1827 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971619 | Paul B Goldberg | Allergy & Immunology | 4641 Main St, Bridgeport, CT 06606-1827 | 2005-09-07 |
| 1235353426 | Allergy Center of Connecticut, P.C. | Allergy & Immunology | 4675 Main St, Bridgeport, CT 06606-1813 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548654882 | Julie Dana Flom | Allergy & Immunology | 1 Park St # Wp2, New Haven, CT 06504-8901 | 2015-03-25 |
| 1235530155 | Neetu Godhwani | Allergy & Immunology | 107 Newtown Rd Ste 1b, Danbury, CT 06810-4151 | 2014-09-10 |
| 1629483599 | Gesher LLC | Allergy & Immunology | 4 Clifton Ave, Waterbury, CT 06710-1724 | 2014-06-30 |
| 1942576947 | Wei An | Allergy & Immunology | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2012-03-24 |
| 1285966150 | Richard Dale England | Allergy & Immunology | 22 Bittersweet Dr, East Lyme, CT 06333-1652 | 2010-02-03 |
| 1992990535 | Sara Ines Dever | Allergy & Immunology | 55 Walls Dr Ste 405, Fairfield, CT 06824-5163 | 2007-09-06 |
| 1023129228 | Richard P Snyder | Allergy & Immunology | 263 Pomfret Street, Putnam, CT 06260-1835 | 2006-08-31 |
| 1689698094 | Mary Elizabeth Eslick | Allergy & Immunology | 59 Sachem St, Norwich, CT 06360-4201 | 2006-07-27 |
| 1063446698 | Jane Veronica Petroff | Allergy & Immunology | 57 North St Ste 216, Danbury, CT 06810-5627 | 2006-07-10 |
| 1366484123 | Birur G Chandra | Allergy & Immunology | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.