Individual provider Active NPI

Heather Holmes Waters, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Norwalk, CT
National Provider Identifier
1326212523
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
62438 Issued in CT
Practice address
761 Main Ave Ste 101
Norwalk, CT 06851-1080
Phone
(203) 845-2244
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 272636 NY
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 62438 CT Primary

Addresses

Primary practice location

761 Main Ave Ste 101
Norwalk, CT 06851-1080

Mailing address

5528 Main St
ENT Associates of New York
Flushing, NY 11355-5044
Phone (718) 445-5100

Other practice location 1

1002 Manhattan Ave
ENT Associates of New York
Brooklyn, NY 11222-1314
Phone (718) 349-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001252 CT Practitioner - Otolaryngology 2365769288

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

761 Main Ave
Suite 101
Norwalk, CT 06851-1178

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62438CTMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology/Facial Plastic Surgery PastSince Jul 1, 2022 Accepting new patients
Pain Management Physicians PLLC PastSince Jan 12, 2015 Accepting new patients
Major Hospital Past Accepting new patients
East River Neurology, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heather.waters@1473.chartlogic.direct-ci.com
  • Direct secure messaging: hwaters@rweiss.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1326212523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 MAIN ST",
            "address_2": "ENT ASSOCIATES OF NEW YORK",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555044",
            "telephone_number": "718-445-5100",
            "fax_number": "718-886-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE STE 101",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-845-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Manhattan Ave",
            "address_2": "ENT Associates of New York",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112221314",
            "country_code": "US",
            "telephone_number": "718-349-3033",
            "fax_number": "718-349-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "HEATHER",
        "middle_name": "HOLMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "272636",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CT",
            "license": "62438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.