Organization Active NPI

Ny Center for Ear Nose Throat Sinus Allergy LLP

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1649465535
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NY CENTER FOR EAR NOSE THROAT SINUS ALLERGY LLP
Practice address
2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone
(718) 646-3776
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mr. Myrna Moe
Title
Office Manager
Phone
(718) 646-3776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2204 Voorhies Ave
Brooklyn, NY 11235-2820

Mailing address

2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone (718) 646-3776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000410 NY Part B Supplier - Clinic/Group Practice 3072543461 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1649465535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352820",
            "telephone_number": "718-646-3776",
            "fax_number": "718-648-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352820",
            "telephone_number": "718-646-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY CENTER FOR EAR NOSE THROAT SINUS ALLERGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-646-3776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.