Ear Nose and Throat Solutions of NJ

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MA08175200 Issued in NJ

Legal business name

EAR NOSE AND THROAT SOLUTIONS OF NJ

Practice address

187 Washington Ave
Suite 2I
Nutley, NJ 07110-3935

Phone

(973) 235-0090

Fax

(973) 995-1145

NPI assigned

Nov 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derrick I Wallace, MD

Title

Managing Partner

Phone

(973) 235-0095

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis Beth Schaffer-Cohen, AU.D.

  • Audiologist
  • Englewood, NJ
  • NPI 1982875936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1013284108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE",
            "address_2": "SUITE 2I",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103935",
            "telephone_number": "973-235-0090",
            "fax_number": "973-995-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE",
            "address_2": "SUITE 2I",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103935",
            "telephone_number": "973-235-0090",
            "fax_number": "973-995-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT SOLUTIONS OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-235-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA08175200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ducey, M.D.
• Judy Lynne Duncan, LCSW
• Christopher Tyler Durante, DPT, PT
• Michael F Durante, MD
• Frederick Durrant, MD
• Ear, Nose & Throat Center of NJ
• Philip M Echo, DMD
• Edward a Mercogliano MD PA
• Julianne Eike
• Elizabeth Hanifin LCSW LLC

• Otolaryngology Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.