Organization Active NPI

ENT Faculty Practice LLP

  • Otolaryngology/Facial Plastic Surgery Physician
  • Ardsley, NY
National Provider Identifier
1104910876
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ENT FACULTY PRACTICE LLP
Practice address
1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045
Phone
(914) 693-7636
Fax
(914) 886-0027
NPI assigned
Oct 3, 2006
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Augustine Moscatello, MDNPI 1881700367
Title
Partner
Phone
(914) 693-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045

Mailing address

PO Box 708
Ardsley, NY 10502-0708
Phone (914) 886-0024

National Provider Directory

National Provider Directory

Locations

19 Bradhurst Ave
Ste 3050N
Hawthorne, NY 10532
Phone (914) 347-0162

19 Bradhurst Ave
Ste 3600
Hawthorne, NY 10532

575 Hudson Valley Ave
Ste 203
New Windsor, NY 12553

11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350

14 Rye Ridge Plz
Ste 231
Rye Brook, NY 10573
Phone (914) 253-4985

14 Rye Ridge Plz
Ste 247
Rye Brook, NY 10573
Phone (914) 253-4985

777 N Broadway
Ste 301
Sleepy Hollow, NY 10591
Phone (914) 693-5025

257 Lafayette Ave
Ste 370
Suffern, NY 10901
Phone (914) 304-5300

2 Strawtown Rd
West Nyack, NY 10994
Phone (845) 353-5900

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1104910876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105020708",
            "telephone_number": "914-886-0024",
            "fax_number": "914-886-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD",
            "address_2": "SUITE 101",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021045",
            "telephone_number": "914-693-7636",
            "fax_number": "914-886-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT FACULTY PRACTICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "MOSCATELLO",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-693-7636",
        "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 Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.