NPIMap

Organization Active NPI

ENT by the Sea LLC

  • Otolaryngology Physician
  • Milford, DE
National Provider Identifier
1114011640
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C10006475 Issued in DE
Legal business name
ENT BY THE SEA LLC
Practice address
39 West Clarke Ave.
Milford, DE 19963
Phone
(302) 231-2039
Fax
(302) 231-2139
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Nicholas Joel Berg, M.D.NPI 1336122415
Title
Owner
Phone
(302) 231-2039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X C10006475 DE Primary

Addresses

Primary practice location

39 West Clarke Ave.
Milford, DE 19963

Mailing address

PO Box 304
Milford, DE 19963-0304
Phone (302) 422-3377

National Provider Directory

National Provider Directory

Locations

33759 Clay Rd
Unit 2
Lewes, DE 19958
Phone (302) 644-8500

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1114011640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199630304",
            "telephone_number": "302-422-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEST CLARKE AVE.",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-231-2039",
            "fax_number": "302-231-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT BY THE SEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-231-2039",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C10006475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.