The New Jersey Center for Ear, Nose and Throat Disorders, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

25MA06039500 Issued in NJ

Legal business name

THE NEW JERSEY CENTER FOR EAR, NOSE AND THROAT DISORDERS, P.C.

Practice address

301 Bridge PLZ N
Fort Lee, NJ 07024-5059

Phone

(201) 592-8200

Fax

(201) 592-7786

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David H Henick, M.D.

Title

Owner

Phone

(201) 592-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700974995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BRIDGE PLZ N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245059",
            "telephone_number": "201-592-8200",
            "fax_number": "201-592-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRIDGE PLZ N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245059",
            "telephone_number": "201-592-8200",
            "fax_number": "201-592-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW JERSEY CENTER FOR EAR, NOSE AND THROAT DISORDERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-592-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MA06039500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Nary Tak, PHD
• Takashi Wakamore, MD
• Laura Taylor, D.P.T.
• Shahnaz Tendulkar, DDS
• The Fleet
• Saliena Elizabeth Thomas, B.PHARM
• Tyron R Thompson, DC
• Huong N-C Tran
• Trans Pacific Medical PC
• Tri America Behavioral Health

• Ambulatory Surgical Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.