ENT and Allergy Associates of Pennsylvania PLLC
Organization Active NPI Allergy & Immunology Physician · Willow Grove, PA
NPI 1548098759 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1548098759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ENT AND ALLERGY ASSOCIATES OF PENNSYLVANIA PLLC
- Practice address
- 2300 Computer Ave Ste E25
Willow Grove, PA 19090-1737 - Phone
- (215) 240-8993
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel Blum
- Title
- Ceo
- Phone
- (914) 829-5295
Practitioners 273
-
Stephanie Eng, M.D.
-
Min Jung Ku, M.D.
-
John Kuryan, M.D.
-
Nivethietha Maniam, M.D.
-
Sheenal V. Patel, MD
-
Sheryl Mathew, MD
-
Erin C. Toller-Artis, D.O.
-
Paul C. Frake, M.D.
-
Mena Abrahim, D.O.
-
Benjamin Daesoon Acker, D.O.
-
Nelson Alcaraz, M.D.
-
Anthony Alessi, M.D.
-
Steven Craig Alexander, M.D.
-
Michael Alleva, M.D.
-
Anna Aronzon, M.D.
-
Jonathan Aviv, M.D.
-
Sara H Axelrod-Malagold, M.D., M.P.H.
-
Rosalia Ayuso, MD, PHD
-
Andrew Elia Azer, M.D.
-
Russell N Beckhardt, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250128001940 | PA | Part B Supplier - Clinic/Group Practice | 9234668849 |
Receives reassigned benefits from 7 practitioners Practice locations: Philadelphia, PA; Richboro, PA; Willow Grove, PA |
National Provider Directory
Locations
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
10125 Verree Rd
Ste 106
Philadelphia, PA 19116
Phone (215) 676-0999
130 Almshouse Rd
Ste 105
Richboro, PA 18954
Phone (213) 364-3688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes | ||
| Otolaryngology Physician |
207Y00000X | |||
| Pediatric Otolaryngology Physician |
207YP0228X | |||
| Sleep Medicine (Otolaryngology) Physician |
207YS0012X | |||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
207YX0007X | |||
| Otology & Neurotology Physician |
207YX0901X | |||
| Otolaryngology/Facial Plastic Surgery Physician |
207YX0905X |
Addresses
Primary practice location
2300 Computer Ave Ste E25
Willow Grove, PA 19090-1737
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Other providers in Willow Grove, PA
- Elva Degeorge, LCSW
- Emarld Family Counseling Center, LLC
- Empowered Living Institute, LLC
- Endocrine Specialists, P.C.
- Stephanie Eng
- John Peter Epright
- Brian Greg Epstein
- Timothy J Erb
- Patrice Anne Erik
- Kimberly Erikson
All providers in Willow Grove, PA · Allergy & Immunology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.