Ear,Nose and Throat Specialists,PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR,NOSE AND THROAT SPECIALISTS,PC

Practice address

1206 W Sherman Ave Ste 2B
Vineland, NJ 08360-6911

Phone

(856) 696-5510

Fax

(856) 696-5590

NPI assigned

Mar 14, 2006

Last updated

Mar 24, 2021By 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

Dr. Rodolfo Diaz, M.D.NPI 1851360663

Title

Physician

Phone

(856) 696-5510

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Rodolfo Diaz, M.D.

  • Otolaryngology Physician
  • Vineland, NJ
  • NPI 1851360663

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Gina R Giordano, MS CCC-A

  • Audiologist
  • Philadelphia, PA
  • NPI 1689896573

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1295703437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "SUITE B2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606916",
            "telephone_number": "856-696-5510",
            "fax_number": "856-696-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE STE 2B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606911",
            "telephone_number": "856-696-5510",
            "fax_number": "856-696-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR,NOSE AND THROAT SPECIALISTS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-696-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04900200",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000270500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1079307",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5281300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0466509000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Palac Dungo, D.O.
• Breony Dunn
• Muhammad I Durrani, M.D.
• Muhammad Ibtisam Durrani
• Thomas Andrew Dwyer, MD
• Camelia East, RPH
• Eastern Dental of Vineland, LLC
• Eastern Sparrow Speech-Language Services LLC (Eastern Sparrow Speech and Language Services)
• Easy Access Transport, LLC
• Taylor Ann Ebling, PA-C

• Otolaryngology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.