Organization Active NPI

Finger Lakes Otolaryngology, PC

  • Otolaryngology Physician
  • Newark, NY
National Provider Identifier
1326065186
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FINGER LAKES OTOLARYNGOLOGY, PC
Doing business as
FingerLakes Otolaryngology, PC
Practice address
1206 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 331-1313
Fax
(315) 331-5828
NPI assigned
Jul 17, 2006
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Ms. Karen A Vanbortel
Title
Practice Manager
Phone
(315) 331-1313

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Facial Plastic Surgery Physician 207YS0123X NU
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Otolaryngic Allergy Physician 207YX0602X NU

Addresses

Primary practice location

1206 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1206 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 331-1313

Other names 1

  • FingerLakes Otolaryngology, PC Doing business as

National Provider Directory

National Provider Directory

Locations

4638 Genesee St
Geneseo, NY 14454
Phone (585) 243-2319

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1326065186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-331-1313",
            "fax_number": "315-331-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-331-1313",
            "fax_number": "315-331-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES OTOLARYNGOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "VANBORTEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-331-1313",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FingerLakes Otolaryngology, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.