NPIMap

Organization Active NPI

Palm Beach Ear, Nose & Throat Association PA

  • Otolaryngology Physician
  • West Palm Beach, FL
National Provider Identifier
1417021015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PALM BEACH EAR, NOSE & THROAT ASSOCIATION PA
Practice address
1515 N Flagler Dr Ste 600
West Palm Beach, FL 33401-3430
Phone
(561) 659-2266
Fax
(561) 659-7846
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carolyn Agresti, MDNPI 1639127830
Title
Partner
Phone
(561) 659-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

1515 N Flagler Dr Ste 600
West Palm Beach, FL 33401-3430

Mailing address

1515 N Flagler Dr Ste 600
West Palm Beach, FL 33401-3430
Phone (561) 659-2266

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417021015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-2266",
            "fax_number": "561-659-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-2266",
            "fax_number": "561-659-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH EAR, NOSE & THROAT ASSOCIATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGRESTI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-659-2266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.