Family Ear Nose and Throat Care PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

FAMILY EAR NOSE AND THROAT CARE PC

Practice address

5010 State Highway 30
Suite 204
Amsterdam, NY 12010

Phone

(518) 842-8185

Fax

(518) 842-8189

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Denise D Cook

Title

Office Manager

Phone

(518) 842-8185

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Brooke M Tennis

  • Family Nurse Practitioner
  • Amsterdam, NY
  • NPI 1720963572
  Medicare reassignment NPD
• Joanne Arlene Sabater, FNP-BC

  • Family Nurse Practitioner
  • Albany, NY
  • NPI 1063148609
  Medicare reassignment
• Karen Lizhong Tan, MD

  • Otolaryngology Physician
  • Amsterdam, NY
  • NPI 1427129071
  Medicare reassignment
• Laurea M Simonds, PA-C

  • Physician Assistant
  • Dover, NH
  • NPI 1720021595
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1801971817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 204",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-8185",
            "fax_number": "518-842-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 204",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-8185",
            "fax_number": "518-842-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EAR NOSE AND THROAT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-842-8185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01515397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric G. Klausner, MD, PLLC
• Emily T. Etzkorn, M.D.
• Andrea L Evans, PT DPT
• Taylor Clara Fadrowski, DNP
• Family Dentistry and Denture Services LLP
• Yvonne Fasone, R.P.A.-C
• John Lewis Fedullo, D. O.
• Jennifer Ferluge, MS, CCC-SLP
• Romario Ferreira de Sousa, PT, DPT
• Tracy Lynn Feulner, OTR/L

• Otolaryngology Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.