Organization Active NPI

South Jersey Ear Nose & Throat Associates P a

  • Otolaryngology Physician
  • Cherry Hill, NJ
National Provider Identifier
1386611929
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
000MA20638 Issued in NJ
Legal business name
SOUTH JERSEY EAR NOSE & THROAT ASSOCIATES P A
Practice address
1101 Kings Hwy N
Suite 306
Cherry Hill, NJ 08034
Phone
(856) 667-3700
Fax
(856) 667-5192
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Herbert James Deutsch, MD
Title
President
Phone
(856) 667-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 000MA20638 NJ Primary

Addresses

Primary practice location

1101 Kings Hwy N
Suite 306
Cherry Hill, NJ 08034

Mailing address

1101 Kings Hwy N
Suite 306
Cherry Hill, NJ 08034
Phone (856) 667-3700

Other identifiers 1

IdentifierTypeStateIssuer
0157708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1101 Kings Hwy N
Ste 306
Cherry Hill, NJ 08034
Phone (856) 667-3700

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1386611929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N",
            "address_2": "SUITE 306",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-667-3700",
            "fax_number": "856-667-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N",
            "address_2": "SUITE 306",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-667-3700",
            "fax_number": "856-667-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY EAR NOSE & THROAT ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-667-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "000MA20638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.