North Jersey Ear Nose & Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA02443200 Issued in NJ

Legal business name

NORTH JERSEY EAR NOSE & THROAT

Practice address

36 Newark Ave
Ste 318
Belleville, NJ 07109

Phone

(973) 751-2251

Fax

(973) 751-4445

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Pedraza

Title

Office Manager

Phone

(973) 751-2251

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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.

• Samieh Rizk, MD

  • Otolaryngology Physician
  • Belleville, NJ
  • NPI 1366534281
  NPD (past)
• Derrick I Wallace, M.D.

  • Otolaryngology Physician
  • Nutley, NJ
  • NPI 1114900362
  NPD (past)
• Oliver Samir Youssef, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clifton, NJ
  • NPI 1801826219
  NPD (past)
• Kristin M Barringer Rich, AUD

  • Audiologist
  • New Windsor, NY
  • NPI 1467629501
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124105283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "STE 318",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-751-2251",
            "fax_number": "973-751-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "STE 318",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-751-2251",
            "fax_number": "973-751-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY EAR NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDRAZA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-751-2251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA02443200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NKP Chiropractic LLC (Guarino Chiropractic)
• Danielle Christine Noll, AU.D.
• Marilou Gonzales Non, R.D
• Normalpsych PC
• North Essex Medical Assoc PA
• North Jersey Ear Nose & Throat
• Northern New Jersey Anesthesia Associates, LLC
• Northwest Essex Community Healthcare
• Northwest Essex Community Healthcare Network, Inc.
• Northwest Essex Community Healthcare Network, Inc.

• Otolaryngology Physician in Belleville, NJ
• Providers in Belleville, 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 Aug 22, 2020; 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.