Organization Active NPI

University Otolaryngology Associates LLC

  • Otolaryngology Physician
  • New Brunswick, NJ
National Provider Identifier
1497816508
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8868301MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.