NPIMap

Organization Active NPI

Valley Ear, Nose and Throat

  • Otolaryngology Physician
  • Jefferson Valley, NY
National Provider Identifier
1437208642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
165043 Issued in NY
Legal business name
VALLEY EAR, NOSE AND THROAT
Practice address
3630 Hill Blvd
Suite 202
Jefferson Valley, NY 10535-1502
Phone
(914) 245-7700
Fax
(914) 245-7836
NPI assigned
Jan 9, 2007
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
Dr. Timothy J Siglock, M.D.NPI 1659376036
Title
Owner
Phone
(914) 245-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 165043 NY Primary

Addresses

Primary practice location

3630 Hill Blvd
Suite 202
Jefferson Valley, NY 10535-1502

Mailing address

PO Box 215
Jefferson Valley, NY 10535-0215
Phone (914) 245-7700

National Provider Directory

National Provider Directory

Locations

3630 Hill Blvd
Ste 202
Jefferson Vly, NY 10535
Phone (914) 245-7700

Practitioners & affiliated clinicians

Practitioners 5

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437208642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105350215",
            "telephone_number": "914-245-7700",
            "fax_number": "914-245-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "SUITE 202",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-245-7700",
            "fax_number": "914-245-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EAR, NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIGLOCK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-245-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "165043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

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.