Organization Active NPI

North Bay ENT & Audiology Group LLC

  • Audiologist
  • Bel Air, MD
National Provider Identifier
1174396006
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
NORTH BAY ENT & AUDIOLOGY GROUP LLC
Practice address
520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone
(410) 879-9100
Fax
(410) 638-0408
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Janelle N Adolph
Title
Credentialing Coordinator
Phone
(410) 688-9753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360

Mailing address

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone (410) 879-9100

National Provider Directory

National Provider Directory
Tax ID family
North Bay ENT Audiology Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

520 Upper Chesapeake Dr
Ste 206
Bel Air, MD 21014
Phone (410) 879-9100

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1174396006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ENT & AUDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ADOLPH",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "410-688-9753"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.