Active NPI
Elliott Solomon, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Delray Beach, FL
National Provider Identifier
1306190889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 087675-1
- Practice address
- 4381 White Cedar Lane
Delray Beach, FL 33445 - Phone
- (561) 638-5790
- Fax
- (815) 301-8260
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 087675-1 | NY | Primary |
Addresses
Primary practice location
4381 White Cedar Lane
Delray Beach, FL 33445
Mailing address
4381 White Cedar Lane
Delray Beach, FL 33445
Phone (561) 638-5790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087675-1 | NY | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1306190889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 WHITE CEDAR LANE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33445",
"telephone_number": "561-638-5790",
"fax_number": "815-301-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 WHITE CEDAR LANE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33445",
"telephone_number": "561-638-5790",
"fax_number": "815-301-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "087675-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.