Regional Otolaryngology Head & Neck Associates, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

REGIONAL OTOLARYNGOLOGY HEAD & NECK ASSOCIATES, LLC

Practice address

1307 White Horse Rd
Building a, Suite 100
Voorhees, NJ 08043-2176

Phone

(856) 346-0200

Fax

(856) 309-8192

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Dangel, C.O.O.

Title

Chief Operating Officer

Phone

(856) 848-0700

Specialties & licenses 1

Addresses

Other names 1

• Professional Otolaryngology Associates Doing business as

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710010145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-346-0200",
            "fax_number": "856-309-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-346-0200",
            "fax_number": "856-309-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL OTOLARYNGOLOGY HEAD & NECK ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANGEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-848-0700",
        "authorized_official_credential": "C.O.O."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Otolaryngology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Speech-Language Pathologist 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.