Northfield ENT Associates LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHFIELD ENT ASSOCIATES LLC

Practice address

2306 New Rd
Northfield, NJ 08225-1407

Phone

(609) 641-6644

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priya Wagle, MD

Title

Owner

Phone

(609) 641-6644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1437634938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251407",
            "telephone_number": "609-641-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251407",
            "telephone_number": "609-641-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD ENT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "WAGLE",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-641-6644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.