NPIMap

Organization Active NPI

Alliance Otolaryngology and Facial Plastic Surgery LLC

  • Otolaryngology Physician
  • Robbinsville, NJ
National Provider Identifier
1457715948
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALLIANCE OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY LLC
Practice address
1 Union St
Suite 206
Robbinsville, NJ 08691
Phone
(609) 436-5740
Fax
(609) 436-5741
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Samuel Scott BeckerNPI 1083837108
Title
MD/Owner
Phone
(609) 436-5740

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1 Union St
Suite 206
Robbinsville, NJ 08691

Mailing address

1 Union St
Suite 206
Robbinsville, NJ 08691-4219
Phone (609) 436-5740

Other names 1

  • Becker ENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707001903 NJ Part B Supplier - Clinic/Group Practice 7517259765 Receives reassigned benefits from 1 practitioner
Practice locations: Voorhees, NJ; Monroe, NJ; Sewell, NJ; Princeton, NJ; Robbinsville, NJ; Lawrence Township, NJ

National Provider Directory

National Provider Directory

Locations

719 US Highway 206
Hillsborough, NJ 08844
Phone (908) 271-2102

168 Franklin Corner Rd
Ste 120
Lawrence Township, NJ 08648

350 Forsgate Dr
Ste 101
Monroe Township, NJ 08831
Phone (609) 409-9327

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1605 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 304-1114

1101 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 281-7550

255 S 17th St
Ste 1104
Philadelphia, PA 19103
Phone (215) 545-2252

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1457715948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION ST",
            "address_2": "SUITE 206",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914219",
            "telephone_number": "609-436-5740",
            "fax_number": "609-436-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION ST",
            "address_2": "SUITE 206",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-436-5740",
            "fax_number": "609-436-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "609-436-5740"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.