Active NPI
Manchester Ear, Nose & Throat Center LLC
- Otolaryngology Physician
- South Windsor, CT
National Provider Identifier
1003856048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 040529
- Legal business name
- MANCHESTER EAR, NOSE & THROAT CENTER LLC
- Practice address
- 2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-9999 - Phone
- (860) 648-0860
- Fax
- (860) 648-0870
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Shternfeld, M.D.
- Title
- Physician/Owner
- Phone
- (860) 648-0860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 040529 | CT | Primary |
Addresses
Primary practice location
2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-9999
Mailing address
2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-9999
Phone (860) 648-0860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060608000296 | CT | Part B Supplier - Clinic/Group Practice | 1951313022 |
Receives reassigned benefits from 4 practitioners Practice locations: South Windsor, CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- South Windsor, CT
- NPI 1528066693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1003856048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 TAMARACK AVE",
"address_2": "SUITE 102",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060749999",
"telephone_number": "860-648-0860",
"fax_number": "860-648-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 TAMARACK AVE",
"address_2": "SUITE 102",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060749999",
"telephone_number": "860-648-0860",
"fax_number": "860-648-0870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCHESTER EAR, NOSE & THROAT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "SHTERNFELD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "860-648-0860",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CT",
"license": "040529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.