NPIMap

Organization Active NPI

Naperville Ear, Nose and Throat Associates., LTD.

  • Otolaryngology Physician
  • Naperville, IL
National Provider Identifier
1205875119
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-074435 Issued in IL
Legal business name
NAPERVILLE EAR, NOSE AND THROAT ASSOCIATES., LTD.
Practice address
10 W Martin Ave
Suite 260
Naperville, IL 60540-6535
Phone
(630) 355-5668
Fax
(630) 355-2071
NPI assigned
Jun 6, 2006
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Leonard S PiazzaNPI 1083633663
Title
President/Ceo
Phone
(630) 355-5668

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 MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X 036-074435 IL Primary

Addresses

Primary practice location

10 W Martin Ave
Suite 260
Naperville, IL 60540-6535

Mailing address

10 W Martin Ave
Suite 260
Naperville, IL 60540-6535
Phone (630) 355-5668

Other identifiers 1

IdentifierTypeStateIssuer
03609740311MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050930000771 IL Part B Supplier - Clinic/Group Practice 9830124544 Receives reassigned benefits from 11 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1205875119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE",
            "address_2": "SUITE 260",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-355-5668",
            "fax_number": "630-355-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE",
            "address_2": "SUITE 260",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-355-5668",
            "fax_number": "630-355-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE EAR, NOSE AND THROAT ASSOCIATES., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "630-355-5668"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-074435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03609740311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.