Organization Active NPI

ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • West Palm Beach, FL
National Provider Identifier
1841527652
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS10621
Legal business name
ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC
Practice address
927 45TH St
Suite 101
West Palm Beach, FL 33407-2450
Phone
(561) 848-5579
Fax
(561) 848-9269
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Mr. Todd S Bum, MHA, MBA, CMPE
Title
Chief Executive Officer
Phone
(561) 939-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X OS10621 Primary

Addresses

Primary practice location

927 45TH St
Suite 101
West Palm Beach, FL 33407-2450

Mailing address

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2335
Phone (561) 338-3267

Other identifiers 1

IdentifierTypeStateIssuer
001960300MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2209250ENT and Allergy Associates of Florida927 45TH Street Suite 101, West Palm Beach, FL 33407Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ear Nose Throat Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

927 45th St
Ste 101
Mangonia Park, FL 33407
Phone (561) 848-5579

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1841527652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862335",
            "telephone_number": "561-338-3267",
            "fax_number": "561-391-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 45TH ST",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072450",
            "telephone_number": "561-848-5579",
            "fax_number": "561-848-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "BUM",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-939-0177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, MBA, CMPE"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": "OS10621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001960300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.