Organization Active NPI

ENT and Allergy Inc

  • Otolaryngology Physician
  • Warwick, RI
National Provider Identifier
1619024130
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT AND ALLERGY INC
Practice address
3520 Post Rd
Warwick, RI 02886-7140
Phone
(401) 921-5800
Fax
(401) 921-2891
NPI assigned
Jan 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charles S Faber, DO
Title
Owner and Provider
Phone
(401) 785-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X RI Primary

Addresses

Primary practice location

3520 Post Rd
Warwick, RI 02886-7140

Mailing address

3520 Post Rd
Warwick, RI 02886-7140
Phone (401) 921-5800

Other identifiers 2

IdentifierTypeStateIssuer
0000002640OtherRIBLUESHIELD
9002640MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000192 RI Part B Supplier - Clinic/Group Practice 5991768699 Receives reassigned benefits from 8 practitioners
Practice locations: East Providence, RI; Warwick, RI

National Provider Directory

National Provider Directory

Locations

400 Warren Ave
#2
East Providence, RI 02914

400 Warren Ave
#2L
East Providence, RI 02914

400 Warren Ave
Fl 2
East Providence, RI 02914
Phone (401) 435-5644

400 Warren Ave
Ste 2
East Providence, RI 02914

450 Veterans Memorial Pkwy
Bldg 1
East Providence, RI 02914
Phone (401) 432-5644

3520 Post Rd
Warwick, RI 02886
Phone (401) 921-5800

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619024130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867140",
            "telephone_number": "401-921-5800",
            "fax_number": "401-921-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867140",
            "telephone_number": "401-921-5800",
            "fax_number": "401-921-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND ALLERGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "401-785-0976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "0000002640",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002640",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.