NPIMap

Organization Active NPI

Northeast ENT, Inc

  • Specialist
  • Fall River, MA
National Provider Identifier
1598066821
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHEAST ENT, INC
Practice address
191 Bedford St
2ND Floor
Fall River, MA 02720-3011
Phone
(508) 995-0700
Fax
(508) 995-3070
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Wendy B.R. Stern, M.D.NPI 1669546727
Title
M.D./Partner
Phone
(508) 995-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

191 Bedford St
2ND Floor
Fall River, MA 02720-3011

Mailing address

299 Faunce Corner Rd
2ND Floor
N Dartmouth, MA 02747-1218
Phone (508) 207-4462

Other identifiers 1

IdentifierTypeStateIssuer
110072097AMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Northeast ENT Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

191 Bedford St
Fl 2
Fall River, MA 02720
Phone (508) 995-0700

299 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (508) 973-1550

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1598066821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FAUNCE CORNER RD",
            "address_2": "2ND FLOOR",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471218",
            "telephone_number": "508-207-4462",
            "fax_number": "508-995-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BEDFORD ST",
            "address_2": "2ND FLOOR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203011",
            "telephone_number": "508-995-0700",
            "fax_number": "508-995-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "B.R.",
        "authorized_official_title_or_position": "M.D./PARTNER",
        "authorized_official_telephone_number": "508-995-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072097A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.