Head & Neck Surgery, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

224219 Issued in NY

Legal business name

HEAD & NECK SURGERY, LLC

Practice address

128-138 Mott Street
Ste 608
New York, NY 10013

Phone

(212) 343-8399

Fax

(212) 343-1386

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Emily Lam

Title

Credentialing

Phone

(212) 979-4572

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1356674766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "212-979-4572",
            "fax_number": "212-979-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128-138 MOTT STREET",
            "address_2": "STE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-343-8399",
            "fax_number": "212-343-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD & NECK SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "212-979-4572"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "224219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin He
• Yong Kang He
• Yuting He, LAC
• Zhaoling He
• Laura Heacock, M.D.
• Cory Anne Head, PH.D.
• Taylor Head
• Head2Sole Care LLC
• Head2Sole Early Intervention Services LLC
• Garnett Carlton Headley, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.