NPIMap

Organization Active NPI

Pinnacle ENT Alliance of New Jersey LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Vineland, NJ
National Provider Identifier
1104264555
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
PINNACLE ENT ALLIANCE OF NEW JERSEY LLC
Practice address
2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7056
Phone
(856) 205-0800
Fax
(856) 205-0024
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Marc I Surkin, MD
Title
President
Phone
(610) 902-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7056

Mailing address

994 Old Eagle School Rd
Suite 1017
Wayne, PA 19087-1802
Phone (610) 902-6092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1104264555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 1017",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871802",
            "telephone_number": "610-902-6092",
            "fax_number": "610-902-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S DELSEA DR",
            "address_2": "SUITE D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607056",
            "telephone_number": "856-205-0800",
            "fax_number": "856-205-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ENT ALLIANCE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "SURKIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-902-6092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.