Organization Active NPI

ENT & Facial Plastic Surgical Associates, LLP

Doing business as Premier E.N.T. Associates

  • Otolaryngology Physician
  • Langhorne, PA
National Provider Identifier
1144215807
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT & FACIAL PLASTIC SURGICAL ASSOCIATES, LLP
Doing business as
Premier E.N.T. Associates
Practice address
400 Middletown Blvd
Suite 100
Langhorne, PA 19047-1819
Phone
(215) 757-7300
Fax
(215) 750-7111
NPI assigned
Sep 19, 2005
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Cindy Doan
Title
Office Manager
Phone
(215) 757-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X PA Primary

Addresses

Primary practice location

400 Middletown Blvd
Suite 100
Langhorne, PA 19047-1819

Mailing address

400 Middletown Blvd
Suite 100
Langhorne, PA 19047-1819
Phone (215) 757-7300

Other names 1

  • Premier E.N.T. Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000606 PA Part B Supplier - Clinic/Group Practice 0143294074 Receives reassigned benefits from 7 practitioners
Practice locations: Langhorne, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
ENT Facial Plastic Surg Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1144215807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MIDDLETOWN BLVD",
            "address_2": "SUITE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471819",
            "telephone_number": "215-757-7300",
            "fax_number": "215-750-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MIDDLETOWN BLVD",
            "address_2": "SUITE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471819",
            "telephone_number": "215-757-7300",
            "fax_number": "215-750-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT & FACIAL PLASTIC SURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-757-7300"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier E.N.T. Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.