Organization Active NPI

The Eye Ear Nose and Throat Institute, Inc.

  • Specialist
  • Hazlet, NJ
National Provider Identifier
1447454152
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA59846 Issued in NJ
Legal business name
THE EYE EAR NOSE AND THROAT INSTITUTE, INC.
Practice address
82 Bethany Road
Hazlet, NJ 07730-1460
Phone
(732) 264-3937
Fax
(732) 264-1311
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Maria F Clemente, MDNPI 1932141108
Title
Owner
Phone
(732) 264-3937

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA59846 NJ Primary

Addresses

Primary practice location

82 Bethany Road
Hazlet, NJ 07730-1460

Mailing address

82 Bethany Rd
Hazlet, NJ 07730-1458
Phone (732) 935-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000454 NJ Part B Supplier - Clinic/Group Practice 9638130479 Receives reassigned benefits from 1 practitioner
Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Locations

82 Bethany Rd
Ste 8
Hazlet, NJ 07730
Phone (732) 264-3937

82 Bethany Rd
Ste 6
Hazlet, NJ 07730
Phone (732) 264-3937

82 Bethany Rd
Hazlet, NJ 07730
Phone (732) 264-3937

82 Bethany Rd
Ste 4
Hazlet, NJ 07730
Phone (732) 264-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1447454152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BETHANY RD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301458",
            "telephone_number": "732-935-3937",
            "fax_number": "732-935-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BETHANY ROAD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301460",
            "telephone_number": "732-264-3937",
            "fax_number": "732-264-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE EAR NOSE AND THROAT INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-264-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA59846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.