Individual provider Active NPI

David George Ansel, MD

  • Otolaryngology Physician
  • Mt Laurel, NJ
National Provider Identifier
1306954474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Practice address
204 Ark Road
Suite 102
Mt Laurel, NJ 08054
Phone
(856) 778-0559
Fax
(856) 778-4131
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NJ Primary

Addresses

Primary practice location

204 Ark Road
Suite 102
Mt Laurel, NJ 08054

Mailing address

204 Ark Road
Suite 102
Mt Laurel, NJ 08054
Phone (856) 778-0559

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA3027800NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Ear Nose and Throat Associates Otolaryngology PastSince Apr 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306954474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK ROAD",
            "address_2": "SUITE 102",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-778-0559",
            "fax_number": "856-778-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK ROAD",
            "address_2": "SUITE 102",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-778-0559",
            "fax_number": "856-778-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSEL",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.