Active NPI
Atlantic ENT Associates, P.a.
- Facial Plastic Surgery Physician
- Manasquan, NJ
National Provider Identifier
1790998805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- MB55529
- Legal business name
- ATLANTIC ENT ASSOCIATES, P.A.
- Practice address
- 2640 Highway 70
Building 6B
Manasquan, NJ 08736-2609 - Phone
- (732) 223-8686
- Fax
- (732) 223-6572
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roxanne D Hoffmann
- Title
- Office Manager
- Phone
- (732) 223-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MB55529 | NJ | Primary |
Addresses
Primary practice location
2640 Highway 70
Building 6B
Manasquan, NJ 08736-2609
Mailing address
2640 Highway 70
Building 6B
Manasquan, NJ 08736-2609
Phone (732) 223-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6217401 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
530 Lakehurst Rd
Ste 207
Toms River, NJ 08755
Phone (732) 557-4480
530 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 557-4480
1 Plaza Dr
Unit 10
Toms River, NJ 08757
Phone (732) 557-4480
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Paterson, NJ
- NPI 1295996726
-
- Facial Plastic Surgery Physician
- Manasquan, NJ
- NPI 1558346825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1790998805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 HIGHWAY 70",
"address_2": "BUILDING 6B",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362609",
"telephone_number": "732-223-8686",
"fax_number": "732-223-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 HIGHWAY 70",
"address_2": "BUILDING 6B",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362609",
"telephone_number": "732-223-8686",
"fax_number": "732-223-6572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC ENT ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "HOFFMANN",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "732-223-8686",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "MB55529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6217401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manasquan, NJ
- James Cloran Arnold, D.D.S.
- Audrey S Arzt, DPT
- Sarah A Aschenbach, PA-C
- Christine Lee Aspen, LAC
- Association for the Multiple Impaired Blind, Inc.
- Atlantic Hematology Oncology Associates, LLC
- Atlantic Medicine and Wellness LLC
- Atlantic Neuropsychology and Psychotherapy Group
- Atlantic Physical Therapy Center
- Atlantic Therapy Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.