NJ ENT and Facial Plastic Surgery LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NJ ENT AND FACIAL PLASTIC SURGERY LLC

Doing business as

NJ ENT

Practice address

525 Route 73 N Ste 117
Evesham, NJ 08053-3422

Phone

(609) 710-6673

Fax

(609) 710-6674

NPI assigned

Jun 28, 2022

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Scott Smith, MDNPI 1730405762

Title

Managing Partner

Phone

(609) 710-6673

Specialties & licenses 1

Addresses

Other names 1

• NJ ENT Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Gregory Scott Smith, M.D.

  • Otolaryngology Physician
  • Evesham, NJ
  • NPI 1730405762
  Medicare reassignment Care Compare group NPD Authorized official
• Nishant P. Reddy

  • Otolaryngology Physician
  • East Windsor, NJ
  • NPI 1780974899
  Medicare reassignment Care Compare group NPD
• Samir Undavia, MD

  • Otolaryngology Physician
  • New York, NY
  • NPI 1811130057

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1104558238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826062",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826062",
            "telephone_number": "609-710-6673",
            "fax_number": "609-710-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 117",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "609-710-6673",
            "fax_number": "609-710-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300B Princeton Hightstown Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "NJ",
            "postal_code": "085201400",
            "country_code": "US",
            "telephone_number": "609-710-6673",
            "fax_number": "609-710-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ ENT AND FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "609-710-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.njent.com",
            "affiliation": "N",
            "address_1": "300B Princeton Hightstown Rd Ste 202",
            "city": "East Windsor",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085201400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NJ ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NJ ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MBS Connection (Homecare Assistance Delaware Valley)
• Gina Miller, MA
• Kathleen Mullee
• Maria Nagori, M.D.
• New Jersey Medical Associates PA
• Jamesetta Lee Nobles-Blackshear
• Cassandra Nunez, APN
• Oaks Integrated Care
• Oaks Integrated Care
• Maya Panchal, OD

• Otolaryngology Physician in Evesham, NJ
• Providers in Evesham, 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 May 17, 2023; 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.

Verify at the official NPI Registry.