Organization Active NPI

Smart Sinus and Allergy Florida LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Schaumburg, IL
National Provider Identifier
1467816918
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
ME125271 Issued in FL
Legal business name
SMART SINUS AND ALLERGY FLORIDA LLC
Practice address
1100 E Woodfield Rd
Suite 140
Schaumburg, IL 60173-5116
Phone
(847) 278-1885
Fax
(630) 635-2496
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Mir Joffrey, MD
Title
MD
Phone
(847) 278-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X ME125271 FL Primary

Addresses

Primary practice location

1100 E Woodfield Rd
Suite 140
Schaumburg, IL 60173-5116

Mailing address

822 A1A N
Suite 310
Ponte Vedra, FL 32082-3260
Phone (847) 278-1885

National Provider Directory

National Provider Directory

Locations

822 A1A N
Ste 310
Ponte Vedra Beach, FL 32082
Phone (904) 473-4954

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": "1465257600000",
    "number": "1467816918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 A1A N",
            "address_2": "SUITE 310",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823260",
            "telephone_number": "847-278-1885",
            "fax_number": "630-635-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "SUITE 140",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735116",
            "telephone_number": "847-278-1885",
            "fax_number": "630-635-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SINUS AND ALLERGY FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JOFFREY",
        "authorized_official_first_name": "MIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-278-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME125271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.