Active NPI
University Otolaryngology Associates LLC
- Otolaryngology Physician
- New Brunswick, NJ
National Provider Identifier
1497816508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- UNIVERSITY OTOLARYNGOLOGY ASSOCIATES LLC
- Practice address
- 181 Somerset St
New Brunswick, NJ 08901-1946 - Phone
- (732) 247-2401
- Fax
- (732) 247-6920
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Goldrich, MD
- Title
- Treasurer
- Phone
- (732) 247-2401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
181 Somerset St
New Brunswick, NJ 08901-1946
Mailing address
181 Somerset St
New Brunswick, NJ 08901-1946
Phone (732) 247-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8868301 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
181 Somerset St
New Brunswick, NJ 08901
Phone (732) 247-2401
181 Somerset St
Ste 2
New Brunswick, NJ 08901
Phone (732) 247-2401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- New Brunswick, NJ
- NPI 1699862615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1497816508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011946",
"telephone_number": "732-247-2401",
"fax_number": "732-247-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011946",
"telephone_number": "732-247-2401",
"fax_number": "732-247-6920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OTOLARYNGOLOGY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "GOLDRICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "732-247-2401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8868301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.