Organization Active NPI

South Jersey ENT Associates

  • Otolaryngology Physician
  • Vineland, NJ
National Provider Identifier
1194762534
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SOUTH JERSEY ENT ASSOCIATES
Practice address
2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079
Phone
(856) 205-0800
Fax
(856) 205-0024
NPI assigned
Jun 2, 2006
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Emil P. Liebman, M.D.NPI 1962447094
Title
M.D.
Phone
(856) 205-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079

Mailing address

2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079
Phone (856) 205-0800

National Provider Directory

National Provider Directory

Locations

2835 S Delsea Dr
Ste D
Vineland, NJ 08360
Phone (856) 205-0800

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1194762534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S DELSEA DR",
            "address_2": "SUITE D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607079",
            "telephone_number": "856-205-0800",
            "fax_number": "856-205-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S DELSEA DR",
            "address_2": "SUITE D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607079",
            "telephone_number": "856-205-0800",
            "fax_number": "856-205-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY ENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "LIEBMAN",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "856-205-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.