Eastside ENT PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EASTSIDE ENT PLLC

Practice address

407 E 70TH St FL 5
New York, NY 10021-5352

Phone

(917) 647-6647

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Miss Farah Roche

Title

Billing Manager

Phone

(212) 518-7186

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1538007497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 70TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215352",
            "telephone_number": "917-647-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 70TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215352",
            "telephone_number": "917-647-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "212-518-7186",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastrx Corp
• Eastside Alliance Medical Associates, P.C.
• Eastside Anesthesia PLLC
• Eastside Audiology PC
• Eastside Diagnostic Imaging
• Eastside Gynecology Services
• Eastside Kinesthetic Center
• Eastside Medical Associates, P.C.
• Eastside Medical Care PLLC
• Eastside Medical Office , PC

• Otolaryngology Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.