Plessen ENT

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PLESSEN ENT

Doing business as

Plessen ENT

Practice address

4040 Estate la Grande Princesse Ste 1
Christiansted, VI 00820-5166

Phone

(340) 715-7720

Fax

(340) 713-9002

NPI assigned

Jun 1, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jan Bijan Tawakol, MDNPI 1750375671

Title

President/Ceo

Phone

(602) 885-3917

Specialties & licenses 1

Addresses

Other names 1

• Plessen ENT Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

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.

• Gavin Martin Gassen, M.D.

  • Otolaryngology Physician
  • Poughkeepsie, NY
  • NPI 1508836636

  VI

  Medicare reassignment NPD
• Jan B Tawakol, M.D.

  • Nephrology Physician
  • Christiansted, VI
  • NPI 1750375671
  NPD (past) Authorized official
• Lisa Gay, FNP

  • Family Nurse Practitioner
  • Christiansted, VI
  • NPI 1427206267
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1609515394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ORANGE GROVE",
            "address_2": "SUITE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESSE STE 1",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205166",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLESSEN ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "TAWAKOL",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "BIJAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-885-3917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://plessenhealthcare.com/contact/",
            "affiliation": "Y",
            "endpointDescription": "Corporate Website",
            "affiliationName": "Plessen Medical Group, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Kareo.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kareo.com",
            "address_1": "5 ORANGE GROVE",
            "city": "Christiansted",
            "state": "VI",
            "country_code": "US",
            "postal_code": "00820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Plessen ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plessen ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Charles Perez, MD
• Cleopatra Peter, DC
• Dominique Petersen
• James Phipps
• Physical Therapy Center of St. Croix, LLC (Caribbean Lymphatic Therapy Center)
• Plessen Eye, LLC
• Plessen Eye, LLC
• Plessen Healthcare, LLC
• Plessen Medical Group, LLC
• Plessen Medical Group, LLC

• Otolaryngology Physician in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Otolaryngology Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.