Acm Ear, Nose, Throat

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

Legal business name

ACM EAR, NOSE, THROAT

Practice address

3624 JFK Blvd
Jersey City, NJ 07307

Phone

(732) 940-3795

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Pei Lin, MD

Title

Owner

Phone

(201) 577-4509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1770943896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 JFK BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "201-577-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 JFK BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "732-940-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACM EAR, NOSE, THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "PEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-577-4509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.