New Mexico Ear Nose & Throat Specialists PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NEW MEXICO EAR NOSE & THROAT SPECIALISTS PC

Practice address

401 Edith Blvd NE
Albuquerque, NM 87102-2509

Phone

(505) 243-8030

Fax

(505) 842-1158

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Frederick Fiber, MDNPI 1508854258

Title

President

Phone

(505) 243-8030

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Frederick Fiber, MD

  • Otolaryngology Physician
  • Albuquerque, NM
  • NPI 1508854258
  Authorized official Same address or phone
• Eugene W. Wasylenki, M.D.

  • Otolaryngology Physician
  • Albuquerque, NM
  • NPI 1619197316
  NPD (past)
• Roland Zsolt Gerencer, MD

  • Otolaryngology Physician
  • Ormond Beach, FL
  • NPI 1144218892
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598753246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EDITH BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022509",
            "telephone_number": "505-243-8030",
            "fax_number": "505-842-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EDITH BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022509",
            "telephone_number": "505-243-8030",
            "fax_number": "505-842-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO EAR NOSE & THROAT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FIBER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-243-8030",
        "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": "RAILROAD MEDICARE",
            "identifier": "CN2180",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48069",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Otolaryngology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.