Organization Active NPI

Ernest M. Enzien MD, PC

  • Otolaryngology Physician
  • Utica, NY
National Provider Identifier
1306987060
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ERNEST M. ENZIEN MD, PC
Practice address
1705 Genesee St
Utica, NY 13501-5642
Phone
(315) 732-6444
Fax
(315) 732-4448
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Ernest Maclaren Enzien Sr., M.D.
Title
Doctor
Phone
(315) 732-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1705 Genesee St
Utica, NY 13501-5642

Mailing address

1705 Genesee St
Utica, NY 13501-5642
Phone (315) 732-6444

Other identifiers 3

IdentifierTypeStateIssuer
00578161MedicaidNY
01182598OtherNYGHI
045111OtherNMMVP

National Provider Directory

National Provider Directory

Locations

1705 Genesee St
Utica, NY 13501
Phone (315) 724-8819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1306987060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015642",
            "telephone_number": "315-732-6444",
            "fax_number": "315-732-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015642",
            "telephone_number": "315-732-6444",
            "fax_number": "315-732-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST M. ENZIEN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ENZIEN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "MACLAREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "315-732-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00578161",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "01182598",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "045111",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.