Central Jersey Otolaryngology PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CENTRAL JERSEY OTOLARYNGOLOGY PC

Practice address

1131 Broad Street
Suite 103
Shnewsbury, NJ 07702

Phone

(732) 389-3388

Fax

(732) 389-3389

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John L Saporito, MDNPI 1063516441

Title

President

Phone

(732) 389-3388

Specialties & licenses 1

Addresses

Locations

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.

• John Lewis Saporito, MD

  • Otolaryngology Physician
  • Shrewsbury, NJ
  • NPI 1063516441
  Authorized official Same address or phone

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285738658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD STREET",
            "address_2": "SUITE 103",
            "city": "SHNEWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-389-3388",
            "fax_number": "732-389-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD STREET",
            "address_2": "SUITE 103",
            "city": "SHNEWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-389-3388",
            "fax_number": "732-389-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY OTOLARYNGOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAPORITO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-389-3388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.