Active NPI
Ear Nose & Throat Professional Associates
- Otolaryngology Physician
- Philadelphia, PA
National Provider Identifier
1508964545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- EAR NOSE & THROAT PROFESSIONAL ASSOCIATES
- Practice address
- 1601 Walnut St
Ste 1405
Philadelphia, PA 19102-2944 - Phone
- (215) 790-1553
- Fax
- (215) 735-4977
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Max L Ronis, MD
- Title
- President
- Phone
- (215) 790-1553
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Bradenton, FL
- NPI 1407899644
-
- Specialist
- Vineland, NJ
- NPI 1316980550
National Provider Directory
National Provider DirectoryLocations
1601 Walnut St
Ste 1405
Philadelphia, PA 19102
Phone (215) 790-1553
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1601 Walnut St
Ste 1405
Philadelphia, PA 19102-2944
Mailing address
1601 Walnut St
Ste 1405
Philadelphia, PA 19102-2944
Phone (215) 790-1553
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053359000 | Other | PA | IBC |
| 116585100 | Other | PA | DEPARTMENT OF LABOR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2008.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1508964545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "STE 1405",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-790-1553",
"fax_number": "215-735-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "STE 1405",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-790-1553",
"fax_number": "215-735-4977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR NOSE & THROAT PROFESSIONAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "RONIS",
"authorized_official_first_name": "MAX",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-790-1553",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0053359000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "116585100",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.