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
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, MD
Title
Partner
Phone
(914) 693-7636

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

1055 Saw Mill River Rd
Ardsley, NY 10502
Phone (814) 863-0111

19 Bradhurst Ave
Ste 3800S
Hawthorne, NY 10532
Phone (914) 493-4634

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

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

2 Longview Ave
Fl 6
White Plains, NY 10601
Phone (914) 849-7586

Practitioners & affiliated clinicians

Practitioners 4

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

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.