Specialists in Otolaryngology LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

47806 Issued in NJ

Legal business name

SPECIALISTS IN OTOLARYNGOLOGY LLC

Practice address

101 Old Short Hills Road
West Orange, NJ 07052

Phone

(973) 731-5400

Fax

(973) 669-0805

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Martin Berg, MDNPI 1639272289

Title

Physician

Phone

(973) 731-5400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Howard Martin Berg, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • West Orange, NJ
  • NPI 1639272289

  NJ, Otolaryngology/Facial Plastic Surgery

  Medicare reassignment NPD Authorized official
• Joel W Levitt, M.D.

  • Pediatric Otolaryngology Physician
  • West Orange, NJ
  • NPI 1174563027
  NPD (past)
• Judith L Seavy, AUDIOLOGIST

  • Audiologist-Hearing Aid Fitter
  • West Orange, NJ
  • NPI 1003062621
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1497955314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-5400",
            "fax_number": "973-669-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-5400",
            "fax_number": "973-669-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN OTOLARYNGOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-731-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "47806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Souffrant, LPN
• South Mountain Medical Associates,P.C.
• South Mountain Medical Consultants P C
• South Orange Womens Care, LLC
• Kelsey Lynn Spear, MD
• Speech Ladder Inc
• Shani F Spence
• Deborah Ruth Spey, M.D.
• Laura Michelle Spiak, PA-C
• Michele Spinazzola, OTR

• All providers in West Orange, NJ
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.